HCPCS S0160
Dextroamphetamine sulfate, 5 mg
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 | $3.07 | — | — |
| Overlake Hospital Medical Center & Clinics | $1.32 – $7.10 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1.42 – $1.58 | — | — |
| Providence Centralia Hospital | $1.79 | — | — |
| Providence Holy Family Hospital | $1.42 – $1.58 | — | — |
| Providence Regional Medical Center Everett | $1.42 – $1.58 | — | — |
| Providence St Mary Medical Center | $1.42 | — | — |
| Providence St Peter Hospital | $1.48 | — | — |
| Swedish Edmonds Hospital | $1.58 | — | — |
| Swedish Issaquah | $1.58 | — | — |
| Swedish Medical Center | $1.58 | — | — |
| Swedish Medical Center / Cherry Hill | $1.58 | — | — |
| Virginia Mason Medical Center | $2.22 – $2.52 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.