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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q9967 $1 [source] 3 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q9967 $1 [source] 3 years ago
Central Carolina Hospital 1135 Carthage Street, Sanford Q9967 $3 [source] 3 years ago
Frye Regional Medical Center 420 N. Center Street, Hickory Q9967 $13 [source] 3 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q9967 $35 [source] 3 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson Q9967 $48 [source] 3 years ago
Swain Community Hospital 45 Plateau Street, Bryson City Q9967 $74 [source] 3 years ago
Harris Regional Hospital 68 Hospital Road, Sylva Q9967 $166 [source] 3 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q9967 $186 [source] 3 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q9967 $284 [source] 3 years ago
Person Memorial Hospital 615 Ridge Road, Roxboro Q9967 $418 [source] 3 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q9967 $532 [source] 3 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q9967 $532 [source] 3 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q9967 $532 [source] 3 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q9967 $532 [source] 3 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q9967 $532 [source] 3 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q9967 $7,282 [source] 3 years ago
Mcdowell Hospital , Marion Q9967 $7,864 [source] 3 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q9967 $7,864 [source] 3 years ago
Angel Medical Center 120 Riverview St, Franklin Q9967 $7,864 [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.