What does code A4627 cost?

Across the published hospital price files, the disclosed cash price for A4627 ranges from $11.03 to $50.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A4627 is the billing code hospitals use to identify "Spacer bag/reservoir" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A4627

HCPCS

Spacer bag/reservoir

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A4627 (Spacer bag/reservoir) appears at 4 hospitals with disclosed cash prices from $11.03 to $50.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A4627 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A4627 vary by about 4.5× across the 2 hospitals with disclosed prices here — from $11.03 to $50.00. Shopping around can matter.

Hospitals

Prices shown

$11.03

Lowest cash

$50.00

Highest cash

code A4627 cash price6 disclosed · 2 hospitals

$11.03median ~$23.02$50.00

Lowest cash price by hospital

8 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Spacer bag/reservoir Outpatient	Endeavor Health Edward Hospital	A4627 HCPCS	—	—	$110 – $110	—
Noncdm Charge Record Medical Supplies Inpatient & outpatient	University of Chicago Medical Center	A4627 HCPCS	—	—	—	—
HC SPACER/ BAG/ RESERVOIR FOR MDI Inpatient & outpatient	University of Maryland Medical Center	A4627 HCPCS	$11.25	$11.03	$11.03 – $11.25	—
HC OPTICHAMBER DIAMOND IN BAG Inpatient & outpatient	University of Maryland Medical Center	A4627 HCPCS	$11.73	$11.50	$11.50 – $11.73	—
HC AEROCHAMBER PLUS VHC Inpatient & outpatient	University of Maryland Medical Center	A4627 HCPCS	$26.00	$25.48	$25.48 – $26.00	—
HC SPACER/ BAG/ RESERVOIR FOR MDI Inpatient & outpatient	UM R Adams Cowley Shock Trauma Center	A4627 HCPCS	$23.95	$23.47	$23.47 – $23.95	—
HC OPTICHAMBER DIAMOND IN BAG Inpatient & outpatient	UM R Adams Cowley Shock Trauma Center	A4627 HCPCS	$23.02	$22.56	$22.56 – $23.02	—
HC AEROCHAMBER PLUS VHC Inpatient & outpatient	UM R Adams Cowley Shock Trauma Center	A4627 HCPCS	$51.02	$50.00	$50.00 – $51.02	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A4627 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center University of Maryland Medical Center UM R Adams Cowley Shock Trauma Center

Code A4627: frequently asked

What does code A4627 cost?: Across the published hospital price files, the disclosed cash price for A4627 ranges from $11.03 to $50.00. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A4627?: A4627 is the billing code hospitals use to identify "Spacer bag/reservoir" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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