HCPCS A4220
Refill kit for implantable infusion pump
Current code14 hospitals with prices
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 | — | $65.80 | $94.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $141 | $202 |
| Providence Centralia Hospital | — | $83.20 | $160 |
| Providence Holy Family Hospital | — | $141 | $202 |
| Providence Mount Carmel Hospital | — | $133 | $190 |
| Providence Regional Medical Center Everett | — | $88.40 | $170 |
| Providence St Joseph Hospital | — | $133 | $190 |
| Providence St Mary Medical Center | — | $84.00 | $120 |
| Providence St Peter Hospital | — | $83.20 | $160 |
| Swedish Edmonds Hospital | — | $54.72 | $114 |
| Swedish Issaquah | — | $54.72 | $114 |
| Swedish Medical Center | — | $54.72 | $114 |
| Swedish Medical Center / Cherry Hill | — | $54.72 | $114 |
| Virginia Mason Medical Center | $126 – $1,411 | $99.96 – $900 | $196 – $1,764 |
Medicare (traditional) reference
CMS publishes no national amount for this code.