HCPCS Q0491

Emergency power source for use with electric/pneumatic ventricular assist device, replacement only

Current code23 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 Q0491 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,145 – $8,88316 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,590 – $5,5299 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,126 – $2,6572 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,003 – $3,7325 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,145 – $9,7507 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,113 – $5,74017 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,113 – $5,74017 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,291 – $5,74012 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,272 – $5,51710 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,218 – $3,65510 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,058 – $4,4079 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,245 – $4,9675 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,594 – $3,0827 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,129 – $4,3378 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,993 – $4,8737 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,993 – $2,9497 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,993 – $4,7459 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,993 – $4,7459 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,113 – $5,74017 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,126 – $4,1665 plans——
Virginia Mason Medical CenterSeattle$1,272 – $4,6207 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,3521 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,145 – $3,44613 plans——

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$1,328 (fee)