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HCPCS L0150

Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)

Current code28 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$30.66 – $87319 plans$16.80 – $66.40$42.00 – $166
Deaconess Medical CenterSpokaneFile dated 2026-08-27$15.60 – $54416 plans$16.80 – $66.40$42.00 – $166
Harborview Medical CenterSeattleFile dated 2026-04-01$209 – $2612 plans$160 – $253$229 – $361
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$197 – $3675 plans$17.99 – $162$25.70 – $231
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$17.55$27.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$27.13 – $95918 plans$16.80 – $66.40$42.00 – $166
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$30.66 – $56420 plans$16.80 – $66.40$42.00 – $166
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$30.66 – $56420 plans$16.80 – $66.40$42.00 – $166
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$30.66 – $56420 plans$16.80 – $66.40$42.00 – $166
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$15.60 – $54216 plans$16.80 – $66.40$42.00 – $166
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$120 – $35910 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$202 – $4339 plans$38.65 – $348$55.21 – $497
Providence Centralia HospitalCentraliaFile dated 2026-04-01$221 – $4885 plans$22.76 – $205$43.76 – $394
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$38.65 – $348$55.21 – $497
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$36.37 – $327$51.96 – $468
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$157 – $3037 plans$24.17 – $218$46.49 – $418
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$36.37 – $327$51.96 – $468
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$22.97 – $207$32.82 – $295
Providence St Peter HospitalOlympiaFile dated 2026-04-01$111 – $4268 plans$22.76 – $205$43.76 – $394
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$196 – $4797 plans$14.96 – $135$31.17 – $281
Swedish IssaquahIssaquahFile dated 2026-04-01$196 – $2907 plans$14.96 – $135$31.17 – $281
Swedish Medical CenterSeattleFile dated 2026-04-01$196 – $4669 plans$14.96 – $135$31.17 – $281
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$196 – $4669 plans$14.96 – $135$31.17 – $281
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$30.66 – $56420 plans$16.80 – $66.40$42.00 – $166
University of Washington Medical CtrSeattleFile dated 2026-04-01$209 – $4105 plans$214 – $219$305 – $313
Virginia Mason Medical CenterSeattle$125 – $4547 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3301 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$12.25 – $33919 plans$10.00 – $66.40$25.00 – $166

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

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
$131 (fee)