HCPCS Q4028
Cast supplies, hip spica (one or both legs), 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 | — | $30.80 | $77.00 |
| Deaconess Medical Center | — | $30.80 | $77.00 |
| Island Hospital | $58.63 – $129 | $130 | $130 |
| Mary Bridge Children's Hospital | — | $30.80 | $77.00 |
| MultiCare Auburn Medical Center | — | $30.80 | $77.00 |
| MultiCare Covington Medical Center | — | $30.80 | $77.00 |
| MultiCare Good Samaritan Hospital | — | $30.80 | $77.00 |
| MultiCare Valley Hospital | — | $30.80 | $77.00 |
| Tacoma General Allenmore Hospital | — | $30.80 | $77.00 |
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
- $75.20 (fee)