HCPCS A4266
Diaphragm for contraceptive use
Current code12 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 | $52.52 – $192 | — | — |
| Deaconess Medical Center | $52.52 – $83.93 | — | — |
| Island Hospital | $3.36 – $39.90 | $42.00 | $42.00 |
| Legacy Salmon Creek Medical Center | — | $60.45 | $93.00 |
| Mary Bridge Children's Hospital | $249 | — | — |
| MultiCare Auburn Medical Center | $52.52 – $233 | — | — |
| MultiCare Covington Medical Center | $52.52 – $233 | — | — |
| MultiCare Good Samaritan Hospital | $52.52 – $233 | — | — |
| MultiCare Valley Hospital | $52.52 – $83.93 | — | — |
| Overlake Hospital Medical Center & Clinics | $92.06 | — | — |
| Tacoma General Allenmore Hospital | $52.52 – $233 | — | — |
| Virginia Mason Medical Center | $117 – $133 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.