CareNavIQ

Every billing code / Equipment and supplies / A codes: transport, medical and surgical supplies

HCPCS A4267

Contraceptive supply, condom, male, each

Current code7 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)
Capital Medical CenterOlympiaFile dated 2026-08-27$1.671 plan——
Island HospitalAnacortes—$1.00$1.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2.161 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2.021 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2.021 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2.021 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2.021 plan——

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.