HCPCS G2215

Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

Current code16 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G2215 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$9351 plan	$86.38	$108
PeaceHealth Peace Island Medical CenterFriday Harbor	$6,305 – $6,9367 plans	$38.43 – $77.17	$59.13 – $119
PeaceHealth Southwest Medical CenteVancouver	—	$38.43 – $77.17	$59.13 – $119
PeaceHealth St John Medical CenterLongview	—	$38.43 – $77.17	$59.13 – $119
PeaceHealth St Joseph Medical CenterBellingham	—	$38.43 – $77.17	$59.13 – $119
PeaceHealth United General Medical CenterSedro Woolley	$3,312 – $3,6437 plans	$38.43 – $77.17	$59.13 – $119
Seattle Children's HospitalSeattle	—	$74.20	$74.20
Skagit Valley HospitalMount Vernon	—	$86.38	$108

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.