HCPCS Q0173
Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
Current code14 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1.01 – $1.79 | — | — |
| Deaconess Medical Center | $1.18 | — | — |
| Kadlec Regional Medical Center | $1.95 – $2.47 | — | — |
| Legacy Salmon Creek Medical Center | $1.46 | — | — |
| Mary Bridge Children's Hospital | $1.99 – $2.32 | — | — |
| MultiCare Auburn Medical Center | $1.18 – $2.16 | — | — |
| MultiCare Covington Medical Center | $1.18 – $2.16 | — | — |
| MultiCare Good Samaritan Hospital | $1.18 – $2.16 | — | — |
| MultiCare Valley Hospital | $1.18 – $1.21 | — | — |
| Overlake Hospital Medical Center & Clinics | $1.56 – $1.66 | — | — |
| Providence Centralia Hospital | $1.95 – $2.47 | — | — |
| Tacoma General Allenmore Hospital | $1.18 – $2.16 | — | — |
| Virginia Mason Medical Center | $2.63 – $2.98 | — | — |
| Yakima Valley Memorial | $1.01 – $1.93 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.