HCPCS A4379 HCPCS - DME

DMEPOS item A4379 Cost

Body System: General

Medicare Facility Rate
$21
CMS PFS CY2026
Medicare Non-Facility Rate
$21
Office/clinic setting

Frequently Asked Questions

How much does DMEPOS item A4379 cost?

The Medicare facility rate is $21. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does DMEPOS item A4379 cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $21.

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