HCPCS Q2004
Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
Current code24 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 | $132 – $235 | — | — |
| Deaconess Medical Center | $235 – $655 | — | — |
| Kadlec Regional Medical Center | $41.73 – $147 | — | — |
| Legacy Salmon Creek Medical Center | $31.30 | — | — |
| Mary Bridge Children's Hospital | $235 – $1,156 | — | — |
| MultiCare Auburn Medical Center | $176 – $680 | — | — |
| MultiCare Covington Medical Center | $176 – $680 | — | — |
| MultiCare Good Samaritan Hospital | $235 – $680 | — | — |
| MultiCare Valley Hospital | $220 – $654 | — | — |
| Overlake Hospital Medical Center & Clinics | $348 – $432 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $109 – $220 | — | — |
| Providence Centralia Hospital | $41.73 – $411 | — | — |
| Providence Holy Family Hospital | $109 – $220 | — | — |
| Providence Regional Medical Center Everett | $109 – $201 | — | — |
| Providence St Mary Medical Center | $147 – $294 | — | — |
| Providence St Peter Hospital | $147 – $235 | — | — |
| Swedish Edmonds Hospital | $109 – $264 | — | — |
| Swedish Issaquah | $109 – $294 | — | — |
| Swedish Medical Center | $109 – $336 | — | — |
| Swedish Medical Center / Cherry Hill | $109 – $336 | — | — |
| Tacoma General Allenmore Hospital | $176 – $680 | — | — |
| University of Washington Medical Ctr | $223 – $235 | — | — |
| Virginia Mason Medical Center | $147 – $435 | — | — |
| Yakima Valley Memorial | $294 – $408 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.