HCPCS S0117
Tretinoin, topical, 5 grams
Current code12 hospitals with prices
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) |
|---|---|---|---|
| Overlake Hospital Medical Center & Clinics | $7.12 – $38.30 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.13 – $7.66 | — | — |
| Providence Centralia Hospital | $9.65 | — | — |
| Providence Holy Family Hospital | $4.13 – $7.66 | — | — |
| Providence Regional Medical Center Everett | $4.13 – $7.66 | — | — |
| Providence St Mary Medical Center | $7.66 | — | — |
| Providence St Peter Hospital | $7.97 | — | — |
| Swedish Edmonds Hospital | $4.13 | — | — |
| Swedish Issaquah | $4.13 | — | — |
| Swedish Medical Center | $4.13 | — | — |
| Swedish Medical Center / Cherry Hill | $4.13 | — | — |
| Virginia Mason Medical Center | $11.97 – $13.59 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.