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HCPCS A4649

Surgical supply; miscellaneous

Current code33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
Cascade Valley HospitalArlington$813 – $9011 plan$650 – $721$813 – $901
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
Harborview Medical CenterSeattleFile dated 2026-04-01—$3,489 – $13,430$4,984 – $19,186
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3.91 – $1,460$5.59 – $2,085
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$222 – $774$278 – $968
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$8.41 – $1,452$12.01 – $2,074
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$4.95 – $2,321$9.52 – $4,464
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$8.41 – $1,452$12.01 – $2,074
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$7.91 – $1,384$11.30 – $1,977
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$5.26 – $2,493$10.11 – $4,793
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$7.91 – $1,384$11.30 – $1,977
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$5.00 – $1,468$7.14 – $2,097
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$4.95 – $2,321$9.52 – $4,464
Skagit Valley HospitalMount Vernon—$650 – $721$813 – $901
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$3.25 – $1,513$6.78 – $3,152
Swedish IssaquahIssaquahFile dated 2026-04-01—$3.25 – $1,513$6.78 – $3,152
Swedish Medical CenterSeattleFile dated 2026-04-01—$3.25 – $1,513$6.78 – $3,152
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$3.25 – $1,513$6.78 – $3,152
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$5.20 – $134,480$13.00 – $336,200
Three Rivers HospitalBrewster$38.50 – $4,2461 plan$55.00 – $6,066$55.00 – $6,066
University of Washington Medical CtrSeattleFile dated 2026-04-01—$3,101 – $11,938$4,430 – $17,054
Yakima Valley MemorialYakimaFile dated 2026-08-27—$2.00 – $94,500$5.00 – $236,250

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

CMS publishes no national amount for this code.