HCPCS S0017
Injection, aminocaproic acid, 5 grams
Retired code13 hospitals with prices
This code is retired. Some hospitals still list it.
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) |
|---|---|---|---|
| Kadlec Regional Medical Center | $9.23 | — | — |
| Overlake Hospital Medical Center & Clinics | $15.44 – $16.43 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $8.95 – $16.60 | — | — |
| Providence Centralia Hospital | $20.92 | — | — |
| Providence Holy Family Hospital | $8.95 – $16.60 | — | — |
| Providence Regional Medical Center Everett | $8.95 – $16.60 | — | — |
| Providence St Mary Medical Center | $16.60 | — | — |
| Providence St Peter Hospital | $17.26 | — | — |
| Swedish Edmonds Hospital | $8.95 | — | — |
| Swedish Issaquah | $8.95 | — | — |
| Swedish Medical Center | $8.95 | — | — |
| Swedish Medical Center / Cherry Hill | $8.95 | — | — |
| Virginia Mason Medical Center | $25.94 – $29.44 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.