HCPCS A4633

Replacement bulb/lamp for ultraviolet light therapy system, each

Current code10 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 A4633 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$50.40 – $1946 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$84.451 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$50.40 – $2512 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$49.00 – $2346 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$49.00 – $2346 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2341 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$56.00 – $84.452 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$9.27 – $1153 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$49.00 – $2346 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$50.40 – $56.005 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

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
$58.49 (purchase new (NU))