HCPCS B4105
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
Current code18 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $247 – $286 | — | — |
| Deaconess Medical Center | $193 – $247 | — | — |
| Mary Bridge Children's Hospital | $247 – $340 | — | — |
| MultiCare Auburn Medical Center | $247 – $340 | — | — |
| MultiCare Covington Medical Center | $247 – $340 | — | — |
| MultiCare Good Samaritan Hospital | $247 – $340 | — | — |
| MultiCare Valley Hospital | $193 – $247 | — | — |
| Overlake Hospital Medical Center & Clinics | $278 – $309 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $141 | — | — |
| Providence Holy Family Hospital | $141 | — | — |
| Providence Regional Medical Center Everett | $141 | — | — |
| Swedish Edmonds Hospital | $141 | — | — |
| Swedish Issaquah | $141 | — | — |
| Swedish Medical Center | $141 | — | — |
| Swedish Medical Center / Cherry Hill | $141 | — | — |
| Tacoma General Allenmore Hospital | $247 – $340 | — | — |
| Virginia Mason Medical Center | $411 | — | — |
| Yakima Valley Memorial | $239 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.