HCPCS L0830

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Current code24 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.

Prices for HCPCS L0830 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,750 – $29,10016 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5,209 – $18,1139 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$6,963 – $8,7042 plans$5,331$7,616
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$6,563 – $12,2255 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,750 – $31,9427 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,646 – $18,80417 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,646 – $18,80417 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,231 – $18,80412 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,167 – $18,07310 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,991 – $11,97410 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6,741 – $14,4389 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$7,355 – $16,2735 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5,223 – $10,0977 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,699 – $14,2108 plans——
Seattle Children's HospitalSeattle$7,706 – $13,69998 plans$14,270$14,270
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$6,528 – $15,9657 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$6,528 – $9,6627 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$6,528 – $15,5459 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$6,528 – $15,5459 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,646 – $18,80417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$6,963 – $13,6495 plans$6,725$9,607
Virginia Mason Medical CenterSeattle$4,167 – $15,1367 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$10,9831 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,750 – $11,29013 plans——

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
$4,352 (fee)