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HCPCS A4217

Sterile water/saline, 500 ml

Current code10 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Olympic Medical CenterPort AngelesFile dated 2026-06-24$29.17 – $54.496 plans$41.76 – $43.59$52.20 – $54.49
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$8.762 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2.971 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2.971 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2.971 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2.971 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$2.971 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$2.971 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2.971 plan——
WhidbeyHealth Medical CenterCoupeville—$17.00$17.00

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

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
$4.47 (fee)