HCPCS S0189
Testosterone pellet, 75 mg
Retired code14 hospitals with prices
This code is retired. Some hospitals still list it.
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 | $137 | — | — |
| Overlake Hospital Medical Center & Clinics | $199 – $1,072 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $119 – $214 | — | — |
| Providence Centralia Hospital | $270 | — | — |
| Providence Holy Family Hospital | $119 – $214 | — | — |
| Providence Regional Medical Center Everett | $119 – $214 | — | — |
| Providence St Mary Medical Center | $214 | — | — |
| Providence St Peter Hospital | $223 | — | — |
| Skagit Valley Hospital | $19.77 – $130 | $110 | $137 |
| Swedish Edmonds Hospital | $119 | — | — |
| Swedish Issaquah | $119 | — | — |
| Swedish Medical Center | $119 | — | — |
| Swedish Medical Center / Cherry Hill | $119 | — | — |
| Virginia Mason Medical Center | $335 – $380 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.