HCPCS B4187
Omegaven, 10 grams lipids
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 | $19.41 – $97.09 | — | — |
| Deaconess Medical Center | $19.41 – $50.34 | — | — |
| Mary Bridge Children's Hospital | $24.82 – $93.99 | — | — |
| MultiCare Auburn Medical Center | $19.41 – $56.36 | — | — |
| MultiCare Covington Medical Center | $19.41 – $56.36 | — | — |
| MultiCare Good Samaritan Hospital | $19.41 – $56.36 | — | — |
| MultiCare Valley Hospital | $19.41 – $55.06 | — | — |
| Overlake Hospital Medical Center & Clinics | $29.32 – $51.40 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $91.93 | $594 – $595 | $849 – $849 |
| Providence Holy Family Hospital | $91.93 | $594 – $595 | $849 – $849 |
| Providence Regional Medical Center Everett | $91.93 | — | — |
| Swedish Edmonds Hospital | $91.93 | — | — |
| Swedish Issaquah | $91.93 | — | — |
| Swedish Medical Center | $91.93 | — | — |
| Swedish Medical Center / Cherry Hill | $91.93 | — | — |
| Tacoma General Allenmore Hospital | $19.41 – $56.36 | — | — |
| Virginia Mason Medical Center | $42.32 – $49.18 | — | — |
| Yakima Valley Memorial | $24.66 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.