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
Texas
Hospital Address Code Price Last Updated
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q9966 $1 [source] 3 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q9966 $3 [source] 3 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q9966 $10 [source] 3 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth Q9966 $10 [source] 3 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q9966 $14 [source] 3 years ago
Medical City Lewisville 500 W Main St, Lewisville Q9966 $17 [source] 3 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q9966 $46 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q9966 $49 [source] 3 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q9966 $88 [source] 3 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q9966 $88 [source] 3 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q9966 $88 [source] 3 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor Q9966 $138 [source] 3 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham Q9966 $138 [source] 3 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls Q9966 $138 [source] 3 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station Q9966 $138 [source] 3 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda Q9966 $166 [source] 3 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville Q9966 $166 [source] 3 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy Q9966 $166 [source] 3 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin Q9966 $166 [source] 3 years ago
Woman's Hospital Of Texas 7600 Fannin, Houston Q9966 $180 [source] 3 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano Q9966 $207 [source] 3 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney Q9966 $207 [source] 3 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano Q9966 $207 [source] 3 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano Q9966 $207 [source] 3 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco Q9966 $207 [source] 3 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth Q9966 $207 [source] 3 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas Q9966 $207 [source] 3 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple Q9966 $207 [source] 3 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving Q9966 $207 [source] 3 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey Q9966 $207 [source] 3 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie Q9966 $207 [source] 3 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett Q9966 $207 [source] 3 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton Q9966 $207 [source] 3 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine Q9966 $207 [source] 3 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q9966 $284 [source] 3 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q9966 $301 [source] 3 years ago
Valley Regional Medical Center 100-A Alton Gloor Blvd, Brownsville Q9966 $361 [source] 3 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q9966 $370 [source] 3 years ago
Ennis Regional Medical Center 2201 West Lampasas, Waxahachie Q9966 $384 [source] 3 years ago
Fort Duncan Regional Medical Center 3333 N. Foster Maldonado Blvd., Eagle Pass Q9966 $388 [source] 3 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo Q9966 $410 [source] 3 years ago
St. David's Healthcare , Round Rock Q9966 $478 [source] 3 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q9966 $478 [source] 3 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills Q9966 $636 [source] 3 years ago
Medical City Weatherford 713 E Anderson St, Weatherford Q9966 $849 [source] 3 years ago
Medical City Arlington 3301 Matlock Rd, Arlington Q9966 $917 [source] 3 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving Q9966 $917 [source] 3 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth Q9966 $989 [source] 3 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q9966 $999 [source] 3 years ago
Medical City Denton 3535 S Interstate 35, Corinth Q9966 $1,075 [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 §180.