HCPCS Q4042
Cast supplies, long leg splint, adult (11 years +), fiberglass
Current code15 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 | $52.19 – $254 | $62.80 | $157 |
| Deaconess Medical Center | $52.05 – $132 | $62.80 | $157 |
| Island Hospital | $6.00 – $71.25 | $75.00 | $75.00 |
| Legacy Salmon Creek Medical Center | — | $23.40 | $36.00 |
| Mary Bridge Children's Hospital | $52.19 – $246 | $62.80 | $157 |
| MultiCare Auburn Medical Center | $52.19 – $148 | $62.80 | $157 |
| MultiCare Covington Medical Center | $52.19 – $148 | $62.80 | $157 |
| MultiCare Good Samaritan Hospital | $52.19 – $148 | $62.80 | $157 |
| MultiCare Valley Hospital | $52.05 – $144 | $62.80 | $157 |
| Overlake Hospital Medical Center & Clinics | $76.75 – $135 | — | — |
| Skagit Valley Hospital | $11.54 – $83.28 | $64.00 | $80.00 |
| Tacoma General Allenmore Hospital | $52.19 – $148 | $62.80 | $157 |
| Virginia Mason Medical Center | $108 | — | — |
| WhidbeyHealth Medical Center | — | $119 | $119 |
| Yakima Valley Memorial | $64.54 – $649 | $303 | $757 |
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
- $43.49 (fee)