HCPCS J0211
Injection, sodium nitrite 3 mg and sodium thiosulfate 125 mg (nithiodote)
Current code41 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Deaconess Medical Center | — | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $324 | $1,061 |
| Island Hospital | $112 – $122 | — | — |
| Kadlec Regional Medical Center | — | $48.03 | $68.62 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | $139 – $153 | $49.34 | $61.67 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Mount Carmel Hospital | — | $101 | $144 |
| Providence Regional Medical Center Everett | — | $80.09 | $154 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | $63.32 | $122 |
| St Anthony Hospital | — | $323 | $1,061 |
| St Clare Hospital | — | $306 | $1,061 |
| St Elizabeth Hospital | $180 – $220 | $375 | $1,061 |
| St Francis Community Hospital | — | $333 | $1,061 |
| St Joseph Medical Center | — | $351 | $1,061 |
| St Michael Medical Center | — | $468 | $1,061 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $402 | $788 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.