HCPCS S4025

Donor services for in vitro fertilization (sperm or embryo), case rate

Current code3 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS S4025 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	—	—	—
Olympic Medical CenterPort AngelesFile dated 2026-06-24	—	—	—
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	$53,8951 plan	—	—

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.