ChargemasterDB
Code: Q9967
Search code
Search Description
Code: Q9967
Description:
Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
HCPCS Category:
Temporary codes (limited use and guidelines specific)
Other Descriptions:
LOCM 300-399 IC 30ML
OMNIPAQUE PO 350 100ML
LOCM 300-399 IC 1ML
LOCM 300-399 IC 200ML
OMNIPAQUE PO 350 50ML
OMNIPAQUE PO 300 50ML
LOCM 300-399 IC 10ML
LOCM 300-399 IC 100ML
LOCM 300-399 IC 75ML
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: Q9966
LOCM 200-299 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
State
Average
# Hospitals In Database
North Dakota (ND)
$1
2
Delaware (DE)
$1
1
Hawaii (HI)
$13
1
Minnesota (MN)
$18
12
Illinois (IL)
$22
6
Oklahoma (OK)
$23
3
Maine (ME)
$28
5
New Jersey (NJ)
$29
2
Massachusetts (MA)
$40
13
Arkansas (AR)
$55
3
Vermont (VT)
$66
2
Connecticut (CT)
$99
7
Washington (WA)
$102
5
New York (NY)
$107
2
Wisconsin (WI)
$120
9
Idaho (ID)
$127
15
Mississippi (MS)
$136
5
Pennsylvania (PA)
$143
4
District of Columbia (DC)
$145
1
Colorado (CO)
$154
3
Alabama (AL)
$157
11
Arizona (AZ)
$191
7
Iowa (IA)
$195
3
Nebraska (NE)
$195
11
Alaska (AK)
$217
2
Ohio (OH)
$243
11
Michigan (MI)
$246
136
South Dakota (SD)
$266
1
West Virginia (WV)
$295
3
South Carolina (SC)
$328
10
Missouri (MO)
$336
11
California (CA)
$387
64
Kentucky (KY)
$394
12
Kansas (KS)
$433
10
Tennessee (TN)
$448
11
Texas (TX)
$461
75
Virginia (VA)
$501
6
Utah (UT)
$553
5
New Mexico (NM)
$556
2
Florida (FL)
$590
115
Indiana (IN)
$935
17
Wyoming (WY)
$961
2
Nevada (NV)
$969
20
Georgia (GA)
$1,072
18
New Hampshire (NH)
$1,792
7
North Carolina (NC)
$2,537
23
Louisiana (LA)
$2,968
3
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
.