HCPCS L1230
Addition to tlso, (low profile), milwaukee type superstructure
Current code23 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 | $563 – $4,368 | — | — |
| Deaconess Medical Center | $782 – $2,719 | — | — |
| Harborview Medical Center | $1,045 – $1,306 | $800 | $1,143 |
| Kadlec Regional Medical Center | $985 – $1,835 | — | — |
| Mary Bridge Children's Hospital | $563 – $4,794 | — | — |
| MultiCare Auburn Medical Center | $547 – $2,822 | — | — |
| MultiCare Covington Medical Center | $547 – $2,822 | — | — |
| MultiCare Good Samaritan Hospital | $635 – $2,822 | — | — |
| MultiCare Valley Hospital | $625 – $2,713 | — | — |
| Overlake Hospital Medical Center & Clinics | $599 – $1,797 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,012 – $2,167 | — | — |
| Providence Centralia Hospital | $1,104 – $2,442 | — | — |
| Providence Regional Medical Center Everett | $784 – $1,515 | — | — |
| Providence St Peter Hospital | $555 – $2,133 | — | — |
| Swedish Edmonds Hospital | $980 – $2,396 | — | — |
| Swedish Issaquah | $980 – $1,450 | — | — |
| Swedish Medical Center | $980 – $2,333 | — | — |
| Swedish Medical Center / Cherry Hill | $980 – $2,333 | — | — |
| Tacoma General Allenmore Hospital | $547 – $2,822 | — | — |
| University of Washington Medical Ctr | $1,045 – $2,049 | $1,009 | $1,441 |
| Virginia Mason Medical Center | $625 – $2,272 | — | — |
| Wellfound Behavioral Health Hospital | $1,648 | — | — |
| Yakima Valley Memorial | $563 – $1,695 | — | — |
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
- $653 (fee)