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
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $24.40 | $61.00 |
| Deaconess Medical Center | — | $24.40 | $61.00 |
| Island Hospital | $13.53 – $29.70 | $30.00 | $30.00 |
| Mary Bridge Children's Hospital | — | $24.40 | $61.00 |
| MultiCare Auburn Medical Center | — | $24.40 | $61.00 |
| MultiCare Covington Medical Center | — | $24.40 | $61.00 |
| MultiCare Good Samaritan Hospital | — | $24.40 | $61.00 |
| MultiCare Valley Hospital | — | $24.40 | $61.00 |
| Tacoma General Allenmore Hospital | — | $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)