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
Georgia
Hospital Address Code Price Last Updated
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta Q9967 $3 [source] 3 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth Q9967 $4 [source] 3 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun Q9967 $4 [source] 3 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q9967 $23 [source] 3 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta Q9967 $30 [source] 3 years ago
St. Francis Hospital 2122 Manchester Expressway, Columbus Q9967 $180 [source] 3 years ago
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur Q9967 $211 [source] 3 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q9967 $891 [source] 3 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q9967 $1,088 [source] 3 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q9967 $1,223 [source] 3 years ago
Memorial Health 4700 Waters Avenue, Savannah Q9967 $1,261 [source] 3 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q9967 $1,428 [source] 3 years ago
Coliseum Health System 350 Hospital Dr, Macon Q9967 $1,559 [source] 3 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q9967 $1,903 [source] 3 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q9967 $5,903 [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.