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HCPCS S0030

Injection, metronidazole, 500 mg

Retired code8 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$2.60$4.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2.321 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2.321 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2.321 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2.321 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$2.321 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$2.321 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2.321 plan——

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.