HCPCS A4216
Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Current code18 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | — | $4.80 – $48.00 | $6.00 – $60.00 |
| EvergreenHealth Medical Center | — | $22.40 | $28.00 |
| EvergreenHealth Monroe | — | $20.80 | $26.00 |
| Legacy Salmon Creek Medical Center | — | — | $1.17 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | $39.89 | $76.71 |
| Seattle Children's Hospital | $2.05 | $5.00 | $5.00 |
| Skagit Valley Hospital | — | $4.80 – $48.00 | $6.00 – $60.00 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Three Rivers Hospital | — | $5.57 – $38.22 | $5.57 – $38.22 |
| WhidbeyHealth Medical Center | — | $2,702 | $2,702 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $0.54 (fee)