HCPCS S0122
Injection, menotropins, 75 iu
Current code13 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) |
|---|---|---|---|
| Kadlec Regional Medical Center | $307 | — | — |
| Overlake Hospital Medical Center & Clinics | $461 – $2,575 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $247 – $495 | — | — |
| Providence Centralia Hospital | $624 | — | — |
| Providence Holy Family Hospital | $247 – $495 | — | — |
| Providence Regional Medical Center Everett | $247 – $495 | — | — |
| Providence St Mary Medical Center | $495 | — | — |
| Providence St Peter Hospital | $515 | — | — |
| Swedish Edmonds Hospital | $247 | — | — |
| Swedish Issaquah | $247 | — | — |
| Swedish Medical Center | $247 | — | — |
| Swedish Medical Center / Cherry Hill | $247 | — | — |
| Virginia Mason Medical Center | $774 – $878 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.