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HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

$1.37Medicare-allowed amount per service, averaged across 2,137,868 services
Providers submitted
$2.77

Asking price, not received

Medicare allowed
$1.37

The fee schedule figure

Medicare paid
$1.08

Balance is patient coinsurance

Providers submitted an average of $2.77 for this code and Medicare allowed $1.37 — 2.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1.08 (79%); the rest is the patient’s coinsurance and deductible.

Services
2,137,868

Medicare Part B, 2024

Beneficiaries
24,731
Providers billing it
284
Total allowed
$2,928,879

Services × allowed amount

What Medicare pays for HCPCS Q9965

Across 2,137,868 services billed by 284 providers to 24,731 beneficiaries, Medicare allowed an average of $1.37 per service. That is 86.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills Q9965

SpecialtyServicesBeneficiariesAvg allowedProviders
Physical Medicine and Rehabilitation463,5283,921$1.4236
Family Practice440,9412,147$1.4414
Emergency Medicine277,6301,081$1.443
Diagnostic Radiology224,0363,545$0.7468
General Practice214,570673$1.481
Plastic and Reconstructive Surgery205,380761$1.492
Pain Management91,8351,888$1.3223
Interventional Pain Management75,8832,127$1.4015
Orthopedic Surgery38,4261,593$1.4819
Internal Medicine28,191345$1.394
Physician Assistant17,3061,183$1.5018
Anesthesiology16,4503,075$1.3729
Nurse Practitioner13,141261$1.608
Preventive Medicine9,040130$1.402
Interventional Radiology6,888163$1.265

Q9965 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
Texas419,918$1.44$1.1522
Kentucky352,538$1.46$1.1612
New Jersey271,670$1.39$1.1015
Ohio219,437$1.44$1.156
Arizona206,704$1.42$1.1320
New York161,153$0.65$0.5130
South Carolina130,837$1.41$1.146
Puerto Rico130,288$1.40$1.122
North Carolina115,534$1.45$1.157
Georgia30,914$1.49$1.1816
Virginia18,735$1.21$0.9614
Pennsylvania13,599$0.99$0.782
Minnesota12,723$1.38$1.0924
Illinois10,333$1.47$1.177
California8,929$1.50$1.1915
Michigan5,841$1.41$1.125
South Dakota4,150$1.23$0.971
Washington3,189$1.39$1.0910
Vermont2,991$1.26$1.012
Louisiana2,286$1.44$1.146
Guam1,816$0.68$1.211
Wisconsin1,783$1.43$1.067
Oklahoma1,641$1.41$1.122
Maryland1,636$1.38$1.1010
Florida1,622$1.38$1.097
Alabama1,456$1.46$1.173
North Dakota1,378$1.41$1.091
New Mexico1,255$1.30$1.033
Colorado1,199$1.35$0.872
Massachusetts773$1.37$1.095
Kansas646$1.42$1.1312
Montana377$1.38$1.092
Connecticut343$1.39$1.134
District of Columbia89$1.47$1.141
Idaho58$1.51$1.261
Utah27$1.14$0.871

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.