HCPCS A4261
Cervical cap for contraceptive use
Current code11 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) |
|---|---|---|---|
| Capital Medical Center | $6.80 – $158 | — | — |
| Deaconess Medical Center | $6.80 – $68.90 | — | — |
| Island Hospital | $4.32 – $51.30 | $54.00 | $54.00 |
| Mary Bridge Children's Hospital | $205 | — | — |
| MultiCare Auburn Medical Center | $6.80 – $191 | — | — |
| MultiCare Covington Medical Center | $6.80 – $191 | — | — |
| MultiCare Good Samaritan Hospital | $6.80 – $191 | — | — |
| MultiCare Valley Hospital | $6.80 – $68.90 | — | — |
| Overlake Hospital Medical Center & Clinics | $75.58 | — | — |
| Tacoma General Allenmore Hospital | $6.80 – $191 | — | — |
| Virginia Mason Medical Center | $15.19 – $17.24 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.