HCPCS L1200
Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only
Current code24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,448 – $2,601 | $1,224 | $3,060 |
| Deaconess Medical Center | $2,173 – $2,234 | $1,224 | $3,060 |
| Harborview Medical Center | — | $2,941 | $4,201 |
| Mary Bridge Children's Hospital | $2,001 – $2,448 | $1,224 | $3,060 |
| MultiCare Auburn Medical Center | $1,805 – $2,234 | $1,224 | $3,060 |
| MultiCare Covington Medical Center | $1,805 – $2,234 | $1,224 | $3,060 |
| MultiCare Good Samaritan Hospital | $1,805 – $2,234 | $1,224 | $3,060 |
| MultiCare Valley Hospital | $2,203 | $1,224 | $3,060 |
| Seattle Children's Hospital | $4,968 – $8,832 | $9,200 | $9,200 |
| Tacoma General Allenmore Hospital | $1,805 – $2,234 | $1,224 | $3,060 |
| Yakima Valley Memorial | $1,714 | $1,224 | $3,060 |
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
- $2,401 (fee)