Code: Q9966

Description:
Description: Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
OMNIPAQUE PO 240 50ML
LOCM 200-299 IC 1ML
LOCM 200-299 IC 20ML
OMNIPAQUE PO 240 150ML
LOCM 200-299 IC 200ML
LOCM 200-299 IC 150ML
Cntrst Rad Ompq 240 100ml
Locm 250-299 Mg/ml Per Ml
Omnipaque 240 / 200 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: Q9965
LOCM 100-199 IC 1ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
Florida
Hospital Address Code Price Last Updated
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q9966 $1 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q9966 $1 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q9966 $2 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q9966 $2 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q9966 $2 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q9966 $2 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q9966 $2 [source] 3 years ago
West Boca Medical Center 21644 State Rd. 7, Boca Raton Q9966 $3 [source] 3 years ago
Twin Cities Hospital 2190 Hwy 85 N, Niceville Q9966 $4 [source] 3 years ago
South Bay Hospital 4016 Sun City Center Blvd, Sun City Center Q9966 $4 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q9966 $6 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q9966 $6 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q9966 $6 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q9966 $6 [source] 3 years ago
Capital Regional Medical Center 2626 Capital Medical Blvd, Tallahassee Q9966 $9 [source] 3 years ago
Palmetto General Hospital 2001 West 68Th St., Hialeah Q9966 $11 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q9966 $12 [source] 3 years ago
Good Samaritan Medical Center 1309 North Flagler Dr., West Palm Beach Q9966 $13 [source] 3 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q9966 $15 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q9966 $20 [source] 3 years ago
Blake Medical Center 2020 59Th St West, Bradenton Q9966 $29 [source] 3 years ago
Lake City Medical Center 340 Nw Commerce Dr, Lake City Q9966 $39 [source] 3 years ago
West Florida Hospital 8383 N Davis Hwy, Pensacola Q9966 $51 [source] 3 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon Q9966 $56 [source] 3 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg Q9966 $63 [source] 3 years ago
Manatee Healthcare System 206 Second Street East, Bradenton Q9966 $66 [source] 3 years ago
Lakewood Ranch Medical Center 8330 Lakewood Ranch Boulevard, Bradenton Q9966 $66 [source] 3 years ago
Osceola Regional Medical Center 700 West Oak St, Kissimmee Q9966 $83 [source] 3 years ago
Englewood Community Hospital 700 Medical Blvd, Englewood Q9966 $87 [source] 3 years ago
Poinciana Medical Center 325 Cypress Pkwy, Kissimmee Q9966 $94 [source] 3 years ago
Palms Of Pasadena Hospital 1501 Pasadena Ave, Saint Petersburg Q9966 $96 [source] 3 years ago
Memorial Hospital Of Tampa 2901 W. Swann Avenue, Tampa Q9966 $96 [source] 3 years ago
Palm Beach Gardens Medical Center 3360 Burns Rd., West Palm Beach Q9966 $104 [source] 3 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte Q9966 $109 [source] 3 years ago
Fort Walton Beach Medical Center 1000 Mar Walt Dr, Fort Walton Beach Q9966 $113 [source] 3 years ago
Kendall Regional Medical Center 11750 Sw 40 St, Miami Q9966 $113 [source] 3 years ago
Wellington Regional Medical Center 10101 Forest Hill Blvd., West Palm Beach Q9966 $117 [source] 3 years ago
Jfk Medical Center 5301 S Congress Ave, Lake Worth Q9966 $129 [source] 3 years ago
Jfk Medical Center - North Campus 2201 45Th St, West Palm Beach Q9966 $129 [source] 3 years ago
Northwest Medical Center 2801 North State Rd 7, Pompano Beach Q9966 $149 [source] 3 years ago
Memorial Hospital 3625 University Blvd. S, Jacksonville Q9966 $155 [source] 3 years ago
Citrus Memorial Hospital 502 W. Highland Blvd, Inverness Q9966 $157 [source] 3 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg Q9966 $158 [source] 3 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q9966 $163 [source] 3 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale Q9966 $177 [source] 3 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey Q9966 $224 [source] 3 years ago
Gulf Coast Regional Medical Center 449 W 23Rd St, Panama City Q9966 $224 [source] 3 years ago
Cleveland Clinic Florida - Weston 2950 Cleveland Clinic Boulevard, Fort Lauderdale Q9966 $248 [source] 3 years ago
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales Q9966 $287 [source] 3 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q9966 $296 [source] 3 years ago
St. Lucie Medical Center 1800 Se Tiffany Ave, Port Saint Lucie Q9966 $320 [source] 3 years ago
Largo Medical Center 201 14Th St Sw, Largo Q9966 $379 [source] 3 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q9966 $394 [source] 3 years ago
Highlands Regional Medical Center 3600 South Highlands Ave, Sebring Q9966 $401 [source] 3 years ago
Central Florida Regional Hospital 1401 West Seminole Blvd, Sanford Q9966 $417 [source] 3 years ago
Raulerson Hospital 1796 Hwy 441 North, Okeechobee Q9966 $426 [source] 3 years ago
Ocala Health 1431 Sw 1St Ave, Ocala Q9966 $462 [source] 3 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q9966 $538 [source] 3 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q9966 $538 [source] 3 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q9966 $538 [source] 3 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q9966 $538 [source] 3 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q9966 $538 [source] 3 years ago
Plantation General Hospital 401 Nw 42 Ave, Fort Lauderdale Q9966 $594 [source] 3 years ago
Mercy Miami Hospital 3663 S Miami Ave, Miami Q9966 $594 [source] 3 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville Q9966 $659 [source] 3 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota Q9966 $705 [source] 3 years ago
Palms West Hospital 13001 Southern Blvd, Loxahatchee Q9966 $725 [source] 3 years ago
University Hospital & Medical Center 7201 North University Dr, Fort Lauderdale Q9966 $769 [source] 3 years ago
Aventura Hospital & Medical Center 20900 Biscayne Blvd, Miami Q9966 $800 [source] 3 years ago
Lawnwood Medical Center & Heart Institute 1700 S 23Rd St, Fort Pierce Q9966 $974 [source] 3 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson Q9966 $981 [source] 3 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville Q9966 $1,184 [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.