HCPCS S0128
Injection, follitropin beta, 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 | $275 | — | — |
| Overlake Hospital Medical Center & Clinics | $413 – $2,218 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $205 – $444 | — | — |
| Providence Centralia Hospital | $559 | — | — |
| Providence Holy Family Hospital | $205 – $444 | — | — |
| Providence Regional Medical Center Everett | $205 – $444 | — | — |
| Providence St Mary Medical Center | $444 | — | — |
| Providence St Peter Hospital | $461 | — | — |
| Swedish Edmonds Hospital | $205 | — | — |
| Swedish Issaquah | $205 | — | — |
| Swedish Medical Center | $205 | — | — |
| Swedish Medical Center / Cherry Hill | $205 | — | — |
| Virginia Mason Medical Center | $693 – $787 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.