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HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf

Current code39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$154 – $1706 plans$26.00 – $339$65.00 – $848
Deaconess Medical CenterSpokaneFile dated 2026-08-27$154 – $1708 plans$26.00 – $339$65.00 – $848
Harborview Medical CenterSeattleFile dated 2026-04-01$158 – $1735 plans$138 – $253$197 – $361
Highline Medical CenterBurienFile dated 2026-02-28—$20.16 – $91.89$66.02 – $301
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$158 – $1897 plans$29.74 – $322$42.48 – $460
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$154 – $1707 plans$26.00 – $339$65.00 – $848
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$154 – $1707 plans$26.00 – $339$65.00 – $848
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$154 – $1707 plans$26.00 – $339$65.00 – $848
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$154 – $1707 plans$26.00 – $339$65.00 – $848
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$159 – $1707 plans$26.00 – $339$65.00 – $848
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$158 – $1643 plans——
PeaceHealth Southwest Medical CenteVancouver$158 – $18113 plans$181$279
PeaceHealth St John Medical CenterLongview$123 – $17314 plans$109$168
PeaceHealth St Joseph Medical CenterBellingham$158 – $1738 plans$119$183
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$158 – $1897 plans$63.88 – $452$91.25 – $645
Providence Centralia HospitalCentraliaFile dated 2026-04-01$158 – $2527 plans$36.61 – $479$70.40 – $920
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$63.88 – $452$91.25 – $645
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$60.12 – $428$85.88 – $611
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$158 – $1736 plans$39.96 – $529$76.84 – $1,018
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$60.12 – $428$85.88 – $611
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$37.97 – $372$54.24 – $532
Providence St Peter HospitalOlympiaFile dated 2026-04-01$158 – $2527 plans$37.61 – $479$72.32 – $920
Seattle Children's HospitalSeattle—$708$708
St Anthony HospitalGig HarborFile dated 2026-02-28—$20.08 – $91.53$66.02 – $301
St Clare HospitalLakewoodFile dated 2026-02-28—$19.03 – $86.74$66.02 – $301
St Elizabeth HospitalEnumclawFile dated 2026-02-28$11.89 – $66.2112 plans$23.33 – $106$66.02 – $301
St Francis Community HospitalFederal WayFile dated 2026-02-28—$20.72 – $94.44$66.02 – $301
St Joseph Medical CenterTacomaFile dated 2026-02-28—$21.87 – $99.67$66.02 – $301
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$29.14 – $133$66.02 – $301
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$158 – $1898 plans$21.89 – $525$45.60 – $1,094
Swedish IssaquahIssaquahFile dated 2026-04-01$158 – $1898 plans$21.89 – $525$45.60 – $1,094
Swedish Medical CenterSeattleFile dated 2026-04-01$158 – $1898 plans$21.89 – $525$45.60 – $1,094
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$158 – $1898 plans$21.89 – $525$45.60 – $1,094
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$154 – $1707 plans$26.00 – $339$65.00 – $848
Three Rivers HospitalBrewster—$78.40$78.40
University of Washington Medical CtrSeattleFile dated 2026-04-01$158 – $1735 plans$129 – $259$184 – $371
Virginia Mason Medical CenterSeattle$108 – $1629 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$154 – $1738 plans$16.00 – $225$40.00 – $563

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
$158 (fee)