HCPCS A4250

Urine test or reagent strips or tablets (100 tablets or strips)

Current code19 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.

Prices for HCPCS A4250 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$13.53 – $78.6211 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$15.17 – $68.006 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$17.55$27.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$34.60 – $93.506 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$12.74 – $93.5011 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$12.74 – $93.5011 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$15.17 – $93.506 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$15.17 – $68.007 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$28.29 – $54.683 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$17.991 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$17.991 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$17.991 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$17.991 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$17.991 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$17.991 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$17.991 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$12.74 – $93.5011 plans——
Virginia Mason Medical CenterSeattle$33.88 – $1133 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$15.15 – $65.888 plans——

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

CMS publishes no national amount for this code.