Code: Q9965

Description:
Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Contr Locm 100-199mg 1ml
IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION
HC LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML
LOCM 100-199 MG/ML 100ML
LOCM 100-199 MG/ML 150ML
LOCM 100-199 MG/ML 50ML
LOCM 100-199 MG/ML 300ML
1ML PER 1CC OMNIPAQUE CONTRAST AGENT CONCENTRATION 180
IOHEXOL INJ 180 PER ML
Related codes:
Code: Q9960
HOCM 200-249 IC 1ML
Code: Q9961
HOCM 250-299 IC 50ML
Code: Q9962
HOCM 300-349 IC 50ML
Code: Q9963
GASTROGRAFN PO 367 120ML
Code: Q9964
HOCM 400 OR MORE IC 1ML
Code: Q9966
LOCM 200-299 IC 50ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
Texas
Hospital Address Code Price Last Updated
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q9965 $3 [source] 3 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q9965 $5 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q9965 $11 [source] 3 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q9965 $37 [source] 3 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q9965 $51 [source] 3 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q9965 $76 [source] 3 years ago
Paris Regional Medical Center 865 Deshong Drive, Paris Q9965 $115 [source] 3 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q9965 $134 [source] 3 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q9965 $134 [source] 3 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q9965 $134 [source] 3 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q9965 $134 [source] 3 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q9965 $161 [source] 3 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q9965 $161 [source] 3 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q9965 $161 [source] 3 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q9965 $161 [source] 3 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q9965 $201 [source] 3 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q9965 $201 [source] 3 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q9965 $201 [source] 3 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q9965 $201 [source] 3 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q9965 $201 [source] 3 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q9965 $201 [source] 3 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q9965 $201 [source] 3 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q9965 $201 [source] 3 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q9965 $201 [source] 3 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q9965 $201 [source] 3 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q9965 $201 [source] 3 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q9965 $201 [source] 3 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q9965 $201 [source] 3 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q9965 $201 [source] 3 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q9965 $319 [source] 3 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q9965 $410 [source] 3 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q9965 $1,203 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.