HCPCS Q9965
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
Current codeContrast Agent37 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2.92 – $3.40 | $1.60 | $4.00 |
| Cascade Valley Hospital | $33.66 – $6,858 | $317 | $396 |
| Deaconess Medical Center | $1.49 – $22.78 | $1.60 – $12.49 | $4.00 – $31.21 |
| Harborview Medical Center | — | $849 | $1,213 |
| Highline Medical Center | $93.01 – $388 | $66.05 – $132 | $216 – $431 |
| Island Hospital | $1.04 | — | — |
| Kadlec Regional Medical Center | $1.49 – $4.56 | — | — |
| Legacy Salmon Creek Medical Center | $1.51 – $2.09 | — | — |
| Mary Bridge Children's Hospital | $2.58 – $3.26 | $1.60 | $4.00 |
| MultiCare Auburn Medical Center | $2.92 | $1.60 | $4.00 |
| MultiCare Covington Medical Center | $2.92 | $1.60 | $4.00 |
| MultiCare Good Samaritan Hospital | $2.92 | $1.60 | $4.00 |
| MultiCare Valley Hospital | $1.49 – $2.88 | $1.60 | $4.00 |
| Overlake Hospital Medical Center & Clinics | $2.23 – $2.38 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.44 – $2.64 | $63.00 | $90.00 |
| Providence Centralia Hospital | $3.33 – $5.98 | $46.80 | $90.00 |
| Providence Holy Family Hospital | $1.44 – $2.64 | $63.00 | $90.00 |
| Providence Regional Medical Center Everett | $1.44 – $2.64 | — | — |
| Providence St Mary Medical Center | $2.64 – $11.67 | $63.00 | $90.00 |
| Providence St Peter Hospital | $1.72 – $2.75 | — | — |
| Seattle Children's Hospital | $1,216 – $2,163 | $2,253 | $2,253 |
| St Anthony Hospital | $108 – $323 | $65.79 – $131 | $216 – $431 |
| St Clare Hospital | $108 – $323 | $62.35 – $124 | $216 – $431 |
| St Elizabeth Hospital | $72.03 – $388 | $76.44 – $152 | $216 – $431 |
| St Francis Community Hospital | $108 – $323 | $67.88 – $135 | $216 – $431 |
| St Joseph Medical Center | $108 – $323 | $71.64 – $143 | $216 – $431 |
| St Michael Medical Center | $2.15 – $388 | $95.47 – $190 | $216 – $431 |
| Swedish Edmonds Hospital | $1.44 – $3.60 | $43.20 | $90.00 |
| Swedish Issaquah | $1.44 – $3.60 | — | — |
| Swedish Medical Center | $1.44 – $1.72 | — | — |
| Swedish Medical Center / Cherry Hill | $1.44 – $1.72 | — | — |
| Tacoma General Allenmore Hospital | $2.92 | $1.60 | $4.00 |
| University of Washington Medical Ctr | — | $741 | $1,059 |
| Virginia Mason Medical Center | $1.20 – $1.60 | $1.02 | $2.00 |
| WhidbeyHealth Medical Center | — | $13.00 | $13.00 |
| Yakima Valley Memorial | $2.76 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.