HCPCS S0077

Injection, clindamycin phosphate, 300 mg

Retired code4 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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS S0077 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Garfield County Public Hospital District #1PomeroyFile dated 2026-09-02	—	$25.93	$30.50
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	Doctor’s fee: $1.30	Doctor’s fee: $2.00
Three Rivers HospitalBrewster	$76.401 plan	$109	$109

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.