HCPCS Q4004
Cast supplies, shoulder cast, adult (11 years +), fiberglass
Current code11 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 | $75.95 – $906 | $66.40 | $166 |
| Deaconess Medical Center | $61.67 – $470 | $66.40 | $166 |
| Mary Bridge Children's Hospital | $107 – $877 | $66.40 | $166 |
| MultiCare Auburn Medical Center | $63.91 – $526 | $66.40 | $166 |
| MultiCare Covington Medical Center | $63.91 – $526 | $66.40 | $166 |
| MultiCare Good Samaritan Hospital | $63.91 – $526 | $66.40 | $166 |
| MultiCare Valley Hospital | $61.67 – $514 | $66.40 | $166 |
| Overlake Hospital Medical Center & Clinics | $274 – $480 | — | — |
| Tacoma General Allenmore Hospital | $63.91 – $526 | $66.40 | $166 |
| Virginia Mason Medical Center | $385 | — | — |
| Yakima Valley Memorial | $230 | — | — |
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)