HCPCS Q4015
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster
Current code12 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 | $4.58 – $58.71 | $4.00 | $10.00 |
| Deaconess Medical Center | $3.72 – $30.44 | $4.00 | $10.00 |
| Island Hospital | $1.44 – $17.10 | $18.00 | $18.00 |
| Mary Bridge Children's Hospital | $6.46 – $56.83 | $4.00 | $10.00 |
| MultiCare Auburn Medical Center | $3.85 – $34.08 | $4.00 | $10.00 |
| MultiCare Covington Medical Center | $3.85 – $34.08 | $4.00 | $10.00 |
| MultiCare Good Samaritan Hospital | $3.85 – $34.08 | $4.00 | $10.00 |
| MultiCare Valley Hospital | $3.72 – $33.29 | $4.00 | $10.00 |
| Overlake Hospital Medical Center & Clinics | $17.73 – $31.08 | — | — |
| Tacoma General Allenmore Hospital | $3.85 – $34.08 | $4.00 | $10.00 |
| Virginia Mason Medical Center | $24.95 | — | — |
| Yakima Valley Memorial | $14.91 | — | — |
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
- $10.05 (fee)