HCPCS S0177

Levamisole hydrochloride, oral, 50 mg

Current code8 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS S0177 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$5.62 – $54.104 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$10.821 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$13.631 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$10.821 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$10.822 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$10.821 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$11.251 plan——
Virginia Mason Medical CenterSeattle$9.44 – $10.712 plans——

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.