HCPCS S0080
Injection, pentamidine isethionate, 300 mg
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 | $119 | — | — |
| Overlake Hospital Medical Center & Clinics | $185 – $996 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $107 – $199 | $500 – $885 | $714 – $1,265 |
| Providence Centralia Hospital | $251 | — | — |
| Providence Holy Family Hospital | $107 – $199 | $500 – $885 | $714 – $1,265 |
| Providence Regional Medical Center Everett | $107 – $199 | $147 | $283 |
| Providence St Mary Medical Center | $199 | $410 – $554 | $585 – $791 |
| Providence St Peter Hospital | $207 | $216 – $404 | $415 – $777 |
| Swedish Edmonds Hospital | $107 | $125 | $260 |
| Swedish Issaquah | $107 | $125 | $260 |
| Swedish Medical Center | $107 | $125 – $272 | $260 – $566 |
| Swedish Medical Center / Cherry Hill | $107 | $125 – $272 | $260 – $566 |
| Virginia Mason Medical Center | $311 – $353 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.