HCPCS S0164
Injection, pantoprazole sodium, 40 mg
Retired code13 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.