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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2.12 – $2.33 | — | — |
| Deaconess Medical Center | $2.12 – $2.33 | — | — |
| Harborview Medical Center | $2.23 – $2.46 | — | — |
| Highline Medical Center | — | $324 | $1,061 |
| Island Hospital | $2.61 – $2.77 | — | — |
| Kadlec Regional Medical Center | $2.17 – $2.60 | $48.03 | $68.62 |
| Legacy Salmon Creek Medical Center | $2.23 – $2.43 | — | — |
| Mary Bridge Children's Hospital | $2.12 – $2.33 | — | — |
| MultiCare Auburn Medical Center | $2.12 – $2.33 | — | — |
| MultiCare Covington Medical Center | $2.12 – $2.33 | — | — |
| MultiCare Good Samaritan Hospital | $2.12 – $2.33 | — | — |
| MultiCare Valley Hospital | $2.19 – $2.33 | — | — |
| Olympic Medical Center | $2.74 – $3.52 | $49.34 | $61.67 |
| Overlake Hospital Medical Center & Clinics | $2.17 – $2.25 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.17 – $2.60 | — | — |
| Providence Centralia Hospital | $2.17 – $3.47 | — | — |
| Providence Holy Family Hospital | $2.17 – $2.38 | — | — |
| Providence Mount Carmel Hospital | — | $101 | $144 |
| Providence Regional Medical Center Everett | $2.17 – $2.38 | $80.09 | $154 |
| Providence St Mary Medical Center | $2.17 – $2.38 | — | — |
| Providence St Peter Hospital | $2.17 – $3.47 | $63.32 | $122 |
| St Anthony Hospital | — | $323 | $1,061 |
| St Clare Hospital | — | $306 | $1,061 |
| St Elizabeth Hospital | $191 – $233 | $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 | $2.17 – $2.60 | — | — |
| Swedish Issaquah | $2.17 – $2.60 | — | — |
| Swedish Medical Center | $2.17 – $2.60 | — | — |
| Swedish Medical Center / Cherry Hill | $2.17 – $2.60 | — | — |
| Tacoma General Allenmore Hospital | $2.12 – $2.33 | — | — |
| University of Washington Medical Ctr | $2.23 – $2.46 | — | — |
| Virginia Mason Medical Center | $1.56 – $2.34 | $402 | $788 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2.12 – $2.38 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.