HCPCS L1230
Addition to tlso, (low profile), milwaukee type superstructure
Current code23 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $640 – $704 | — | — |
| Deaconess Medical Center | $640 – $704 | — | — |
| Harborview Medical Center | $653 – $719 | $800 | $1,143 |
| Kadlec Regional Medical Center | $653 – $784 | — | — |
| Mary Bridge Children's Hospital | $640 – $704 | — | — |
| MultiCare Auburn Medical Center | $640 – $704 | — | — |
| MultiCare Covington Medical Center | $640 – $704 | — | — |
| MultiCare Good Samaritan Hospital | $640 – $704 | — | — |
| MultiCare Valley Hospital | $659 – $704 | — | — |
| Overlake Hospital Medical Center & Clinics | $653 – $679 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $653 – $784 | — | — |
| Providence Centralia Hospital | $653 – $1,045 | — | — |
| Providence Regional Medical Center Everett | $653 – $719 | — | — |
| Providence St Peter Hospital | $653 – $1,045 | — | — |
| Swedish Edmonds Hospital | $653 – $784 | — | — |
| Swedish Issaquah | $653 – $784 | — | — |
| Swedish Medical Center | $653 – $784 | — | — |
| Swedish Medical Center / Cherry Hill | $653 – $784 | — | — |
| Tacoma General Allenmore Hospital | $640 – $704 | — | — |
| University of Washington Medical Ctr | $653 – $719 | $1,009 | $1,441 |
| Virginia Mason Medical Center | $448 – $672 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $640 – $717 | — | — |
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)