HCPCS Q4017
Cast supplies, long arm splint, adult (11 years +), plaster
Current code13 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 | $13.92 – $67.77 | $16.80 | $42.00 |
| Deaconess Medical Center | $13.88 – $35.13 | $16.80 | $42.00 |
| Island Hospital | $1.60 – $19.00 | $20.00 | $20.00 |
| Legacy Salmon Creek Medical Center | — | $15.60 | $24.00 |
| Mary Bridge Children's Hospital | $13.92 – $65.60 | $16.80 | $42.00 |
| MultiCare Auburn Medical Center | $13.92 – $39.34 | $16.80 | $42.00 |
| MultiCare Covington Medical Center | $13.92 – $39.34 | $16.80 | $42.00 |
| MultiCare Good Samaritan Hospital | $13.92 – $39.34 | $16.80 | $42.00 |
| MultiCare Valley Hospital | $13.88 – $38.43 | $16.80 | $42.00 |
| Overlake Hospital Medical Center & Clinics | $20.47 – $35.87 | — | — |
| Tacoma General Allenmore Hospital | $13.92 – $39.34 | $16.80 | $42.00 |
| Virginia Mason Medical Center | $28.78 | — | — |
| Yakima Valley Memorial | $17.20 | — | — |
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
- $11.60 (fee)