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Every billing code / Imaging / Standard X-ray

HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Current codeContrast Agent43 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3.20 – $3.402 plans$1.60$4.00
Cascade Valley HospitalArlington$33.66 – $6,8588 plans$317$396
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2.84 – $22.782 plans$1.60 – $12.49$4.00 – $31.21
Harborview Medical CenterSeattleFile dated 2026-04-01—$849$1,213
Highline Medical CenterBurienFile dated 2026-02-28$93.01 – $3886 plans$66.05 – $132$216 – $431
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$9.10$14.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2.62 – $3.206 plans$1.60$4.00
Mason General Hospital & Family of ClinicsShelton$1.26 – $3.652 plans$3.38$4.50
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2.36 – $2.923 plans$1.60$4.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2.36 – $2.923 plans$1.60$4.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2.36 – $2.923 plans$1.60$4.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2.882 plans$1.60$4.00
PeaceHealth Peace Island Medical CenterFriday Harbor—$42.35 – $77.89$65.15 – $120
PeaceHealth Southwest Medical CenteVancouver—$22.75 – $77.89$35.00 – $120
PeaceHealth St John Medical CenterLongview—$42.35 – $77.89$65.15 – $120
PeaceHealth St Joseph Medical CenterBellingham—$42.35 – $77.89$65.15 – $120
PeaceHealth United General Medical CenterSedro Woolley$5,2991 plan$42.35 – $77.89$65.15 – $120
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$63.00$90.00
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$46.80$90.00
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$63.00$90.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$63.00$90.00
Seattle Children's HospitalSeattle$1,216 – $2,16398 plans$2,253$2,253
St Anthony HospitalGig HarborFile dated 2026-02-28$119 – $3234 plans$65.79 – $131$216 – $431
St Clare HospitalLakewoodFile dated 2026-02-28$119 – $3234 plans$62.35 – $124$216 – $431
St Elizabeth HospitalEnumclawFile dated 2026-02-28$77.87 – $3889 plans$76.44 – $152$216 – $431
St Francis Community HospitalFederal WayFile dated 2026-02-28$119 – $3234 plans$67.88 – $135$216 – $431
St Joseph Medical CenterTacomaFile dated 2026-02-28$119 – $3234 plans$71.64 – $143$216 – $431
St Michael Medical CenterSilverdaleFile dated 2026-02-28$136 – $38810 plans$95.47 – $190$216 – $431
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$43.20$90.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2.36 – $2.923 plans$1.60$4.00
University of Washington Medical CtrSeattleFile dated 2026-04-01—$741$1,059
Virginia Mason Medical CenterSeattle$1.28 – $1.604 plans$1.02$2.00

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.