HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Current code28 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.

Prices for HCPCS L0859 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,372 – $1,5096 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,372 – $1,5098 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,400 – $1,5405 plans$1,715 – $1,715$2,450 – $2,450
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,400 – $1,6807 plans$2,643$3,775
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,372 – $1,5097 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,372 – $1,5097 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,372 – $1,5097 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,372 – $1,5097 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,413 – $1,5097 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,400 – $1,4563 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,400 – $1,6807 plans$2,860$4,086
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,400 – $2,2407 plans$4,693$9,025
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$2,860$4,086
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$2,730$3,900
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,400 – $1,5406 plans$4,797$9,225
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,730$3,900
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,713$3,875
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,400 – $2,2407 plans$4,693$9,025
Seattle Children's HospitalSeattle—$4,845$4,845
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,400 – $1,6808 plans$1,951 – $2,910$4,064 – $6,063
Swedish IssaquahIssaquahFile dated 2026-04-01$1,400 – $1,6808 plans$1,857 – $1,951$3,869 – $4,064
Swedish Medical CenterSeattleFile dated 2026-04-01$1,400 – $1,6808 plans$1,857 – $2,910$3,869 – $6,063
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,400 – $1,6808 plans$1,857 – $2,910$3,869 – $6,063
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,372 – $1,5097 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,400 – $1,5405 plans$2,522$3,603
Virginia Mason Medical CenterSeattle$961 – $1,4419 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,372 – $1,5378 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
$1,400 (fee)