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HCPCS C9804

Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)

Current code19 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$150 – $1,068$214 – $1,526
Olympic Medical CenterPort AngelesFile dated 2026-06-24$297 – $5316 plans$425$531
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$388 – $1,143$776 – $2,285
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$211 – $1,100$301 – $1,571
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$223 – $1,653$429 – $3,179
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$211 – $1,100$301 – $1,571
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$200 – $1,044$285 – $1,491
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$247 – $1,803$475 – $3,468
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$200 – $1,044$285 – $1,491
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$174 – $1,116$248 – $1,594
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$209 – $1,653$401 – $3,179
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$153 – $1,093$319 – $2,278
Swedish IssaquahIssaquahFile dated 2026-04-01—$153 – $2,363$319 – $4,924
Swedish Medical CenterSeattleFile dated 2026-04-01—$153 – $2,363$319 – $4,924
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$153 – $2,363$319 – $4,924
Virginia Mason Medical CenterSeattle$1,006 – $1,2574 plans$801$1,571

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.