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 | $126 – $133 | $62.80 | $157 |
| Deaconess Medical Center | $111 – $115 | $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 | $103 – $126 | $62.80 | $157 |
| MultiCare Auburn Medical Center | $115 | $62.80 | $157 |
| MultiCare Covington Medical Center | $115 | $62.80 | $157 |
| MultiCare Good Samaritan Hospital | $115 | $62.80 | $157 |
| MultiCare Valley Hospital | $113 | $62.80 | $157 |
| Tacoma General Allenmore Hospital | $115 | $62.80 | $157 |
| Yakima Valley Memorial | $424 | $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)