HCPCS Q9966

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml

Current codeContrast Agent40 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.

Prices for HCPCS Q9966 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.04 – $68.352 plans$1.40 – $32.17$1.43 – $80.42
Cascade Valley HospitalArlington$10.57 – $3,9698 plans$99.50 – $264$124 – $330
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1.49 – $32.685 plans$1.61 – $17.91$4.01 – $44.77
EvergreenHealth Medical CenterKirkland$1.44 – $3037 plans$11.20 – $261$14.00 – $326
EvergreenHealth MonroeMonroe$8.82 – $85812 plans$11.20 – $738$14.00 – $923
Highline Medical CenterBurienFile dated 2026-02-28$1.23 – $9,3115 plans$16.72 – $3,159$2.86 – $10,346
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.23 – $1.562 plans$63.00 – $96.73$90.00 – $138
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2.22 – $17.096 plans$1.38 – $8.40$3.43 – $21.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$9.44 – $15.332 plans$5.18 – $8.40$12.93 – $21.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$15.332 plans$8.40$21.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7.61 – $58.692 plans$4.18 – $32.16$10.43 – $80.40
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$8.17 – $15.845 plans$8.80$22.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1.002 plans—$1.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$63.00 – $108$90.00 – $154
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1.13 – $2.584 plans$48.16 – $50.89$92.61 – $97.86
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$63.00 – $108$90.00 – $154
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$63.00 – $96.73$90.00 – $138
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.161 plan$63.00 – $143$90.00 – $204
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$46.80 – $48.16$90.00 – $92.61
Seattle Children's HospitalSeattle$181 – $32198 plans$334$334
Skagit Valley HospitalMount Vernon$17.95 – $2797 plans$99.50 – $235$124 – $293
St Anthony HospitalGig HarborFile dated 2026-02-28$1.43 – $7,7593 plans$16.66 – $3,147$2.86 – $10,346
St Clare HospitalLakewoodFile dated 2026-02-28$1.43 – $7,7593 plans$15.79 – $2,982$2.86 – $10,346
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1.43 – $9,3116 plans$1.02 – $3,656$2.86 – $10,346
St Francis Community HospitalFederal WayFile dated 2026-02-28$1.43 – $7,7593 plans$17.19 – $3,247$2.86 – $10,346
St Joseph Medical CenterTacomaFile dated 2026-02-28$1.43 – $7,7593 plans$18.14 – $3,427$2.86 – $10,346
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1.36 – $9,3119 plans$1.27 – $4,566$2.86 – $10,346
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$43.20 – $194$90.00 – $403
Swedish IssaquahIssaquahFile dated 2026-04-01—$46.97$97.86
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$43.20$90.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1.00 – $58.712 plans$1.06 – $32.18$1.07 – $80.43
Three Rivers HospitalBrewster—$7.96$7.96
Virginia Mason Medical CenterSeattle——$1.00
WhidbeyHealth Medical CenterCoupeville—$1,236$1,236
Yakima Valley MemorialYakimaFile dated 2026-08-27$4.32 – $34.774 plans$3.53 – $16.36$8.82 – $40.90

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.