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HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Current code11 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)
Capital Medical CenterOlympiaFile dated 2026-08-27$133 – $1412 plans$66.40$166
Deaconess Medical CenterSpokaneFile dated 2026-08-27$118 – $1212 plans$66.40$166
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$109 – $1336 plans$66.40$166
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1212 plans$66.40$166
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1212 plans$66.40$166
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1212 plans$66.40$166
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1202 plans$66.40$166
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1212 plans$66.40$166

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

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
$155 (fee)