HCPCS M0076

Prolotherapy

Current code15 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS M0076 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4161 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1811 plan——
Harborview Medical CenterSeattleFile dated 2026-04-01—$199$284
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$116$179
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$5381 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5031 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5031 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5031 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1811 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1991 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,170$2,437
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,170$2,437
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,170$2,437
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5031 plan——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$439$627

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.