Washington · G2215

Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in Washington

Washington Medicare Avg
$76.31
1% below national avg
National Medicare Avg
$76.95
All states combined
Billed Charge (WA)
$82.30
What providers submit
Est. Commercial (WA)
$179.33
National avg: $172.51
Est. Cash / Self-Pay (WA)
$79.86
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

61
Services in WA
8
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Washington

Provider Medicare Services
Wchs, Inc. $77.06 38

Washington Pricing in Context

In Washington, CPT code G2215 (Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure) carries an average Medicare payment of $76.31 — 1% below the national benchmark of $76.95. 8 providers across the state submitted claims for this procedure in 2023, performing 61 total services. Individual payments in WA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Washington is $82.30, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Washington sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Washington lands near $179.33, with self-pay cash prices typically around $79.86. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cost in Washington?

The average Medicare payment for Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in Washington is $76.31, which is 1% below the national average of $76.95. Providers in WA typically bill $82.30 for this procedure.

What does Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cost with insurance in Washington?

With commercial insurance in Washington, Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure costs an estimated $179.33. Without insurance, the estimated cash price is $79.86. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in Washington?

8 providers in Washington billed Medicare for Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure in 2023, performing 61 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure cheaper in Washington than the national average?

Yes — Take-Home Supply Of Nasal Naloxone; 2-Pack Of 4mg Per 0.1 Ml Nasal Spray (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code For Primary Procedure costs 1% below the national average in Washington. The state average Medicare payment is $76.31 compared to $76.95 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial