HCPCS Q9966
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
Current codeContrast Agent40 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 | $1.14 – $68.35 | $1.40 – $32.17 | $1.43 – $80.42 |
| Cascade Valley Hospital | $10.57 – $3,969 | $99.50 – $264 | $124 – $330 |
| Deaconess Medical Center | $2.85 – $32.68 | $1.61 – $17.91 | $4.01 – $44.77 |
| EvergreenHealth Medical Center | $1.44 – $303 | $11.20 – $261 | $14.00 – $326 |
| EvergreenHealth Monroe | $8.82 – $858 | $11.20 – $738 | $14.00 – $923 |
| Highline Medical Center | $1.23 – $9,311 | $16.72 – $3,159 | $2.86 – $10,346 |
| Kadlec Regional Medical Center | — | $63.00 – $96.73 | $90.00 – $138 |
| Mary Bridge Children's Hospital | $2.24 – $16.80 | $1.38 – $8.40 | $3.43 – $21.00 |
| MultiCare Auburn Medical Center | $7.63 – $15.33 | $5.18 – $8.40 | $12.93 – $21.00 |
| MultiCare Covington Medical Center | $12.39 – $15.33 | $8.40 | $21.00 |
| MultiCare Good Samaritan Hospital | $6.15 – $58.69 | $4.18 – $32.16 | $10.43 – $80.40 |
| MultiCare Valley Hospital | $15.84 | $8.80 | $22.00 |
| Olympic Medical Center | $1.00 | — | $1.00 |
| PeaceHealth Peace Island Medical Center | — | $17.19 – $26.38 | $26.45 – $40.59 |
| PeaceHealth Southwest Medical Cente | — | $17.19 – $85.67 | $26.45 – $132 |
| PeaceHealth St John Medical Center | — | $17.19 – $45.50 | $26.45 – $70.00 |
| PeaceHealth St Joseph Medical Center | — | $17.19 – $30.75 | $26.45 – $47.30 |
| PeaceHealth United General Medical Center | $5,299 | $17.19 – $28.60 | $26.45 – $44.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $63.00 – $108 | $90.00 – $154 |
| Providence Centralia Hospital | — | $48.16 – $50.89 | $92.61 – $97.86 |
| Providence Holy Family Hospital | — | $63.00 – $108 | $90.00 – $154 |
| Providence Mount Carmel Hospital | — | $63.00 – $96.73 | $90.00 – $138 |
| Providence St Mary Medical Center | — | $63.00 – $143 | $90.00 – $204 |
| Providence St Peter Hospital | — | $46.80 – $48.16 | $90.00 – $92.61 |
| Seattle Children's Hospital | $181 – $321 | $334 | $334 |
| Skagit Valley Hospital | $17.95 – $279 | $99.50 – $235 | $124 – $293 |
| St Anthony Hospital | $1.58 – $7,759 | $16.66 – $3,147 | $2.86 – $10,346 |
| St Clare Hospital | $1.58 – $7,759 | $15.79 – $2,982 | $2.86 – $10,346 |
| St Elizabeth Hospital | $1.03 – $9,311 | $1.02 – $3,656 | $2.86 – $10,346 |
| St Francis Community Hospital | $1.58 – $7,759 | $17.19 – $3,247 | $2.86 – $10,346 |
| St Joseph Medical Center | $1.58 – $7,759 | $18.14 – $3,427 | $2.86 – $10,346 |
| St Michael Medical Center | $1.81 – $9,311 | $1.27 – $4,566 | $2.86 – $10,346 |
| Swedish Edmonds Hospital | — | $43.20 – $194 | $90.00 – $403 |
| Swedish Issaquah | — | $46.97 | $97.86 |
| Swedish Medical Center / Cherry Hill | — | $43.20 | $90.00 |
| Tacoma General Allenmore Hospital | $1.00 – $58.71 | $1.06 – $32.18 | $1.07 – $80.43 |
| Three Rivers Hospital | — | $7.96 | $7.96 |
| Virginia Mason Medical Center | — | — | $1.00 |
| Yakima Valley Memorial | $4.94 – $22.90 | $3.53 – $16.36 | $8.82 – $40.90 |
Medicare (traditional) reference
CMS publishes no national amount for this code.