HCPCS L0150
Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)
Current code28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| Deaconess Medical Center | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| Harborview Medical Center | $131 – $144 | $160 – $253 | $229 – $361 |
| Kadlec Regional Medical Center | $131 – $157 | $17.99 – $162 | $25.70 – $231 |
| Legacy Salmon Creek Medical Center | — | $17.55 | $27.00 |
| Mary Bridge Children's Hospital | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| MultiCare Auburn Medical Center | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| MultiCare Covington Medical Center | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| MultiCare Good Samaritan Hospital | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| MultiCare Valley Hospital | $132 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| Overlake Hospital Medical Center & Clinics | $131 – $136 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $131 – $157 | $38.65 – $348 | $55.21 – $497 |
| Providence Centralia Hospital | $131 – $209 | $22.76 – $205 | $43.76 – $394 |
| Providence Holy Family Hospital | — | $38.65 – $348 | $55.21 – $497 |
| Providence Mount Carmel Hospital | — | $36.37 – $327 | $51.96 – $468 |
| Providence Regional Medical Center Everett | $131 – $144 | $24.17 – $218 | $46.49 – $418 |
| Providence St Joseph Hospital | — | $36.37 – $327 | $51.96 – $468 |
| Providence St Mary Medical Center | — | $22.97 – $207 | $32.82 – $295 |
| Providence St Peter Hospital | $131 – $209 | $22.76 – $205 | $43.76 – $394 |
| Swedish Edmonds Hospital | $131 – $157 | $14.96 – $135 | $31.17 – $281 |
| Swedish Issaquah | $131 – $157 | $14.96 – $135 | $31.17 – $281 |
| Swedish Medical Center | $131 – $157 | $14.96 – $135 | $31.17 – $281 |
| Swedish Medical Center / Cherry Hill | $131 – $157 | $14.96 – $135 | $31.17 – $281 |
| Tacoma General Allenmore Hospital | $128 – $141 | $16.80 – $66.40 | $42.00 – $166 |
| University of Washington Medical Ctr | $131 – $144 | $214 – $219 | $305 – $313 |
| Virginia Mason Medical Center | $89.63 – $134 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $128 – $143 | $10.00 – $66.40 | $25.00 – $166 |
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)