HCPCS S0136

Clozapine, 25 mg

Current code11 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS S0136 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$150 – $2831 plan$3.14 – $8.11$3.93 – $10.13
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon—$3.14 – $8.11$3.93 – $10.13
Virginia Mason Medical CenterSeattle———

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.