HCPCS Q0177
Hydroxyzine pamoate, 25 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 code19 hospitals with prices
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | — | $1.07 – $1.75 | $1.33 – $2.18 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Olympic Medical Center | $7.75 – $7.96 | $6.37 | $7.96 |
| PeaceHealth Peace Island Medical Center | — | $1.48 – $20.16 | $2.27 – $31.01 |
| PeaceHealth Southwest Medical Cente | — | $1.48 – $20.16 | $2.27 – $31.01 |
| PeaceHealth St John Medical Center | — | $1.48 – $20.16 | $2.27 – $31.01 |
| PeaceHealth St Joseph Medical Center | — | $1.48 – $20.16 | $2.27 – $31.01 |
| PeaceHealth United General Medical Center | — | $1.48 – $20.16 | $2.27 – $31.01 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $7.20 – $10.83 | $10.29 – $15.47 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $7.20 – $10.83 | $10.29 – $15.47 |
| Providence Mount Carmel Hospital | — | $7.56 | $10.80 |
| Providence St Mary Medical Center | — | $10.53 – $11.24 | $15.04 – $16.06 |
| Skagit Valley Hospital | — | $1.07 – $1.75 | $1.33 – $2.18 |
| Swedish Edmonds Hospital | — | $4.06 | $8.45 |
| Swedish Issaquah | — | $4.06 | $8.45 |
| Swedish Medical Center | — | $4.06 | $8.45 |
| Swedish Medical Center / Cherry Hill | — | $4.06 | $8.45 |
Medicare (traditional) reference
CMS publishes no national amount for this code.