# HCPCS A4217: Sterile water/saline, 500ml

Medicare HCPCS A4217 pays $4.14 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $2.18 in Alaska to $4.93 in Puerto Rico, a 126% spread.

Web page: https://www.med-reveal.com/rates/A4217-hcpcs-fee-schedule
Section: Drugs and Biologicals

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $4.14 |
| National facility | $4.14 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $4.93 | $4.93 |
| Arizona | $4.47 | $4.47 |
| Arkansas | $4.47 | $4.47 |
| Colorado | $4.47 | $4.47 |
| Connecticut | $4.47 | $4.47 |
| Delaware | $4.47 | $4.47 |
| Florida | $4.47 | $4.47 |
| Georgia | $4.47 | $4.47 |
| Illinois | $4.47 | $4.47 |
| Indiana | $4.47 | $4.47 |
| Iowa | $4.47 | $4.47 |
| Louisiana | $4.47 | $4.47 |
| Maryland | $4.47 | $4.47 |
| Michigan | $4.47 | $4.47 |
| Minnesota | $4.47 | $4.47 |
| New Jersey | $4.47 | $4.47 |
| New Mexico | $4.47 | $4.47 |
| Ohio | $4.47 | $4.47 |
| Oregon | $4.47 | $4.47 |
| Pennsylvania | $4.47 | $4.47 |
| South Dakota | $4.47 | $4.47 |
| Texas | $4.47 | $4.47 |
| Washington | $4.47 | $4.47 |
| West Virginia | $4.47 | $4.47 |
| Wisconsin | $4.47 | $4.47 |
| Wyoming | $4.47 | $4.47 |
| Vermont | $4.37 | $4.37 |
| North Dakota | $4.30 | $4.30 |
| Virginia | $4.04 | $4.04 |
| Mississippi | $4.03 | $4.03 |
| District of Columbia | $3.98 | $3.98 |
| Nebraska | $3.88 | $3.88 |
| Hawaii | $3.86 | $3.86 |
| Oklahoma | $3.86 | $3.86 |
| Alabama | $3.80 | $3.80 |
| California | $3.80 | $3.80 |
| Idaho | $3.80 | $3.80 |
| Kansas | $3.80 | $3.80 |
| Kentucky | $3.80 | $3.80 |
| Maine | $3.80 | $3.80 |
| Massachusetts | $3.80 | $3.80 |
| Missouri | $3.80 | $3.80 |
| Montana | $3.80 | $3.80 |
| Nevada | $3.80 | $3.80 |
| New Hampshire | $3.80 | $3.80 |
| New York | $3.80 | $3.80 |
| North Carolina | $3.80 | $3.80 |
| Rhode Island | $3.80 | $3.80 |
| South Carolina | $3.80 | $3.80 |
| Tennessee | $3.80 | $3.80 |
| Utah | $3.80 | $3.80 |
| Virgin Islands | $3.80 | $3.80 |
| Alaska | $2.18 | $2.18 |

## Related codes

- A4211: Supplies for self-administered injections — https://www.med-reveal.com/rates/A4211-hcpcs-fee-schedule
- A4212: Non-coring needle or stylet with or without catheter — https://www.med-reveal.com/rates/A4212-hcpcs-fee-schedule
- A4213: Syringe, sterile, 20cc or greater, each — https://www.med-reveal.com/rates/A4213-hcpcs-fee-schedule
- A4215: Needle, sterile, any size, each — https://www.med-reveal.com/rates/A4215-hcpcs-fee-schedule
- A4216: Sterile saline/water, metered dose dispenser, 10ml — https://www.med-reveal.com/rates/A4216-hcpcs-fee-schedule
- A4221: Supplies for maintenance of drug infusion catheter, per week — https://www.med-reveal.com/rates/A4221-hcpcs-fee-schedule
- A4222: Infusion supplies for external drug infusion pump, per cassette/bag — https://www.med-reveal.com/rates/A4222-hcpcs-fee-schedule
- A4223: Infusion supplies not used with external infusion pump, per day — https://www.med-reveal.com/rates/A4223-hcpcs-fee-schedule

Commercial negotiated rates for A4217 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules