HCPCS B4103 at Overlake Hospital Medical Center & Clinics

Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit

Overlake Hospital Medical Center & Clinics, Bellevue

Description from CMS's HCPCS Level II code file.

What Overlake Hospital Medical Center & Clinics publishes for this code: as an outpatient

Overlake Hospital Medical Center & Clinics’s prices for HCPCS B4103, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$6.01 – $6.682 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	—	—

Lowest and highest amounts Overlake Hospital Medical Center & Clinics lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS B4103 at Overlake Hospital Medical Center & Clinics
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS B4103 at every Washington hospital, with Medicare’s reference amounts.