HCPCS Q4016
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
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 | $48.80 – $51.85 | $24.40 | $61.00 |
| Deaconess Medical Center | $43.31 – $44.53 | $24.40 | $61.00 |
| Island Hospital | $2.40 – $28.50 | $30.00 | $30.00 |
| Mary Bridge Children's Hospital | $39.89 – $48.80 | $24.40 | $61.00 |
| MultiCare Auburn Medical Center | $44.53 | $24.40 | $61.00 |
| MultiCare Covington Medical Center | $44.53 | $24.40 | $61.00 |
| MultiCare Good Samaritan Hospital | $44.53 | $24.40 | $61.00 |
| MultiCare Valley Hospital | $43.92 | $24.40 | $61.00 |
| Tacoma General Allenmore Hospital | $44.53 | $24.40 | $61.00 |
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
- $16.91 (fee)