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HCPCS L0174

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

Current code36 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$117 – $169$292 – $423
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$117 – $169$292 – $423
Harborview Medical CenterSeattleFile dated 2026-04-01—$149 – $290$213 – $415
Highline Medical CenterBurienFile dated 2026-02-28—$77.37 – $98.43$253 – $322
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$130 – $670$186 – $957
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$117 – $169$292 – $423
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$117 – $169$292 – $423
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$117 – $169$292 – $423
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$117 – $169$292 – $423
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$117 – $169$292 – $423
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$186 – $825$265 – $1,179
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$165 – $1,015$317 – $1,951
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$186 – $825$265 – $1,179
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$176 – $783$251 – $1,119
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$175 – $1,116$337 – $2,146
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$176 – $783$251 – $1,119
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$153 – $729$218 – $1,041
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$165 – $1,015$317 – $1,951
Seattle Children's HospitalSeattle$28.22 – $2021 plan$112 – $800$112 – $800
St Anthony HospitalGig HarborFile dated 2026-02-28—$77.06 – $98.04$253 – $322
St Clare HospitalLakewoodFile dated 2026-02-28—$73.03 – $92.92$253 – $322
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$89.53 – $114$253 – $322
St Francis Community HospitalFederal WayFile dated 2026-02-28—$79.51 – $101$253 – $322
St Joseph Medical CenterTacomaFile dated 2026-02-28—$83.91 – $107$253 – $322
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$112 – $142$253 – $322
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$99.26 – $683$207 – $1,423
Swedish IssaquahIssaquahFile dated 2026-04-01—$99.26 – $683$207 – $1,423
Swedish Medical CenterSeattleFile dated 2026-04-01—$99.26 – $683$207 – $1,423
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$99.26 – $683$207 – $1,423
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$117 – $169$292 – $423
University of Washington Medical CtrSeattleFile dated 2026-04-01—$129 – $554$184 – $792
Yakima Valley MemorialYakimaFile dated 2026-08-27—$40.80 – $169$102 – $423

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
$332 (fee)