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Every billing code / Equipment and supplies / Other DME

HCPCS A4619

Face tent

Current code12 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$1,970 – $10,7362 plans$985 – $5,052$2,463 – $12,630
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,749 – $9,2202 plans$985 – $5,052$2,463 – $12,630
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,611 – $10,1046 plans$985 – $5,052$2,463 – $12,630
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,798 – $9,2203 plans$985 – $5,052$2,463 – $12,630
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,798 – $9,2203 plans$985 – $5,052$2,463 – $12,630
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,798 – $9,2203 plans$985 – $5,052$2,463 – $12,630
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,773 – $9,0942 plans$985 – $5,052$2,463 – $12,630
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,798 – $9,2203 plans$985 – $5,052$2,463 – $12,630
Yakima Valley MemorialYakimaFile dated 2026-08-27$967 – $3,6291 plan$690 – $2,592$1,726 – $6,480

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$2.57 (purchase new (NU))