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#421 of 11K

Q9967

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

Low osmolar contrast material, 300-399 mg iodine/ml, per ml is the #421 most-billed Medicaid procedure code, with $246.7M in payments across 17.7M claims from 2018–2024. The national median cost per claim is $3.42. Costs vary widely — the 90th percentile is $42.41 per claim, 12.4× the median.

Total Paid

$246.7M

0.02% of all spending

Total Claims

17.7M

Providers

5K

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for Q9967? Based on 4K providers billing this code nationally.

Median

$3.42

Average

$16.17

Std Dev

$41.80

Max

$737.35

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.30
Median
$3.42
p75
$11.27
p90
$42.41
p95
$80.06
p99
$206.25

50% of providers bill between $0.30 and $11.27 per claim for this code.

90% bill between $0.04 and $42.41.

Top 1% bill above $206.25.

About This Procedure

HCPCS code Q9967 (Low osmolar contrast material, 300-399 mg iodine/ml, per ml) was billed by 5K providers across 17.7M claims, totaling $246.7M in Medicaid payments from 2018–2024. This code was used for 15.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.42

Providers Billing

4K

National Spending

$246.7M

Avg/Median Ratio

4.73×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q9967

#ProviderTotal Paid
1Spartanburg Medical Center

Spartanburg, SC · Ambulance

$9.8M
2Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$9.5M
3Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$5.5M
41699756221$5.4M
5Palomar Health

Escondido, CA · General Acute Care Hospital

$3.5M
61053361642$3.0M
71366407603$3.0M
8University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$2.9M
91205835485$2.8M
10Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$2.7M
111063812907$2.7M
12Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$2.2M
13United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$2.0M
141235196510$1.9M
151184197683$1.9M
16Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$1.7M
171982800397$1.7M
18Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$1.7M
19Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$1.7M
201366459570$1.7M

Showing top 20 of 5K providers billing this code