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
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $1.60 | $4.00 |
| Cascade Valley Hospital | — | $317 | $396 |
| Deaconess Medical Center | — | $1.60 – $12.49 | $4.00 – $31.21 |
| Harborview Medical Center | — | $849 | $1,213 |
| Highline Medical Center | — | $66.05 – $132 | $216 – $431 |
| Mary Bridge Children's Hospital | — | $1.60 | $4.00 |
| MultiCare Auburn Medical Center | — | $1.60 | $4.00 |
| MultiCare Covington Medical Center | — | $1.60 | $4.00 |
| MultiCare Good Samaritan Hospital | — | $1.60 | $4.00 |
| MultiCare Valley Hospital | — | $1.60 | $4.00 |
| PeaceHealth Southwest Medical Cente | — | $22.75 | $35.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $63.00 | $90.00 |
| Providence Centralia Hospital | — | $46.80 | $90.00 |
| Providence Holy Family Hospital | — | $63.00 | $90.00 |
| Providence St Mary Medical Center | — | $63.00 | $90.00 |
| Seattle Children's Hospital | $1,982 – $2,027 | $2,253 | $2,253 |
| St Anthony Hospital | — | $65.79 – $131 | $216 – $431 |
| St Clare Hospital | — | $62.35 – $124 | $216 – $431 |
| St Elizabeth Hospital | — | $76.44 – $152 | $216 – $431 |
| St Francis Community Hospital | — | $67.88 – $135 | $216 – $431 |
| St Joseph Medical Center | — | $71.64 – $143 | $216 – $431 |
| St Michael Medical Center | — | $95.47 – $190 | $216 – $431 |
| Swedish Edmonds Hospital | — | $43.20 | $90.00 |
| Tacoma General Allenmore Hospital | — | $1.60 | $4.00 |
| University of Washington Medical Ctr | — | $741 | $1,059 |
| Virginia Mason Medical Center | — | $1.02 | $2.00 |
Medicare (traditional) reference
CMS publishes no national amount for this code.