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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$33.60 – $1412 plans$16.80 – $66.40$42.00 – $166
Deaconess Medical CenterSpokaneFile dated 2026-08-27$29.82 – $1212 plans$16.80 – $66.40$42.00 – $166
Harborview Medical CenterSeattleFile dated 2026-04-01—$160 – $253$229 – $361
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$17.99 – $162$25.70 – $231
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $17.55Doctor’s fee: $27.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$27.47 – $1336 plans$16.80 – $66.40$42.00 – $166
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$24.78 – $1213 plans$16.80 – $66.40$42.00 – $166
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$24.78 – $1213 plans$16.80 – $66.40$42.00 – $166
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$24.78 – $1213 plans$16.80 – $66.40$42.00 – $166
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$30.24 – $1202 plans$16.80 – $66.40$42.00 – $166
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$38.65 – $348$55.21 – $497
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$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—$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—$22.76 – $205$43.76 – $394
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$14.96 – $135$31.17 – $281
Swedish IssaquahIssaquahFile dated 2026-04-01—$14.96 – $135$31.17 – $281
Swedish Medical CenterSeattleFile dated 2026-04-01—$14.96 – $135$31.17 – $281
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$14.96 – $135$31.17 – $281
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$24.78 – $1213 plans$16.80 – $66.40$42.00 – $166
University of Washington Medical CtrSeattleFile dated 2026-04-01—$214 – $219$305 – $313
Yakima Valley MemorialYakimaFile dated 2026-08-27$14.00 – $92.961 plan$10.00 – $66.40$25.00 – $166

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)