HCPCS L1210
Addition to tlso, (low profile), lateral thoracic extension
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 | $259 – $2,010 | $153 | $383 |
| Deaconess Medical Center | $142 – $1,251 | $153 | $383 |
| Harborview Medical Center | $481 – $601 | $368 | $526 |
| Kadlec Regional Medical Center | $453 – $845 | — | — |
| Mary Bridge Children's Hospital | $247 – $2,207 | $153 | $383 |
| MultiCare Auburn Medical Center | $252 – $1,299 | $153 | $383 |
| MultiCare Covington Medical Center | $252 – $1,299 | $153 | $383 |
| MultiCare Good Samaritan Hospital | $252 – $1,299 | $153 | $383 |
| MultiCare Valley Hospital | $142 – $1,249 | $153 | $383 |
| Overlake Hospital Medical Center & Clinics | $276 – $827 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $466 – $998 | — | — |
| Providence Centralia Hospital | $508 – $1,124 | — | — |
| Providence Regional Medical Center Everett | $361 – $698 | — | — |
| Providence St Peter Hospital | $256 – $982 | — | — |
| Seattle Children's Hospital | $422 – $751 | $782 | $782 |
| Swedish Edmonds Hospital | $451 – $1,103 | — | — |
| Swedish Issaquah | $451 – $668 | — | — |
| Swedish Medical Center | $451 – $1,074 | — | — |
| Swedish Medical Center / Cherry Hill | $451 – $1,074 | — | — |
| Tacoma General Allenmore Hospital | $252 – $1,299 | $153 | $383 |
| University of Washington Medical Ctr | $481 – $943 | $465 | $665 |
| Virginia Mason Medical Center | $288 – $1,046 | — | — |
| Wellfound Behavioral Health Hospital | $759 | — | — |
| Yakima Valley Memorial | $188 – $780 | $153 | $383 |
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
- $301 (fee)