HCPCS S0174
Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
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 | $37.44 | — | — |
| Overlake Hospital Medical Center & Clinics | $56.08 – $302 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $32.52 – $60.30 | — | — |
| Providence Centralia Hospital | $75.98 | — | — |
| Providence Holy Family Hospital | $32.52 – $60.30 | — | — |
| Providence Regional Medical Center Everett | $32.52 – $60.30 | — | — |
| Providence St Mary Medical Center | $60.30 | — | — |
| Providence St Peter Hospital | $62.71 | — | — |
| Swedish Edmonds Hospital | $32.52 | — | — |
| Swedish Issaquah | $32.52 | — | — |
| Swedish Medical Center | $32.52 | — | — |
| Swedish Medical Center / Cherry Hill | $32.52 | — | — |
| Virginia Mason Medical Center | $94.24 – $107 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.