HCPCS A4680

Activated carbon filter for hemodialysis, each

Current codeHemodialysis8 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 A4680 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,245 – $1,4502 plans$682$1,706
Deaconess Medical CenterSpokaneFile dated 2026-08-27$634 – $1,2455 plans$682$1,706
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,102 – $1,3896 plans$682$1,706
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,2452 plans$682$1,706
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,2452 plans$682$1,706
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,2452 plans$682$1,706
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$634 – $1,2285 plans$682$1,706
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,2452 plans$682$1,706

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.