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

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for HCPCS Q9966 by hospital
HospitalMedicare (traditional) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1.40 – $32.17$1.43 – $80.42
Cascade Valley HospitalArlington—$99.50 – $264$124 – $330
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1.61 – $17.91$4.01 – $44.77
EvergreenHealth Medical CenterKirkland—$11.20 – $261$14.00 – $326
EvergreenHealth MonroeMonroe—$11.20 – $738$14.00 – $923
Highline Medical CenterBurienFile dated 2026-02-28—$16.72 – $3,159$2.86 – $10,346
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$63.00 – $96.73$90.00 – $138
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1.38 – $8.40$3.43 – $21.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$5.18 – $8.40$12.93 – $21.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$8.40$21.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$4.18 – $32.16$10.43 – $80.40
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$8.80$22.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24——$1.00
PeaceHealth Peace Island Medical CenterFriday Harbor—$17.19 – $26.38$26.45 – $40.59
PeaceHealth Southwest Medical CenteVancouver—$17.19 – $85.67$26.45 – $132
PeaceHealth St John Medical CenterLongview—$17.19 – $45.50$26.45 – $70.00
PeaceHealth St Joseph Medical CenterBellingham—$17.19 – $30.75$26.45 – $47.30
PeaceHealth United General Medical CenterSedro Woolley—$17.19 – $28.60$26.45 – $44.00
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—$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—$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—$334$334
Skagit Valley HospitalMount Vernon—$99.50 – $235$124 – $293
St Anthony HospitalGig HarborFile dated 2026-02-28—$16.66 – $3,147$2.86 – $10,346
St Clare HospitalLakewoodFile dated 2026-02-28—$15.79 – $2,982$2.86 – $10,346
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$1.02 – $3,656$2.86 – $10,346
St Francis Community HospitalFederal WayFile dated 2026-02-28—$17.19 – $3,247$2.86 – $10,346
St Joseph Medical CenterTacomaFile dated 2026-02-28—$18.14 – $3,427$2.86 – $10,346
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$1.06 – $32.18$1.07 – $80.43
Three Rivers HospitalBrewster$5.381 plan$7.96$7.96
Virginia Mason Medical CenterSeattle——$1.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$3.53 – $16.36$8.82 – $40.90

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.