Every billing code / HCPCS L1240 / MultiCare Good Samaritan Hospital
HCPCS L1240 at MultiCare Good Samaritan Hospital
Addition to tlso, (low profile), lumbar derotation pad
MultiCare Good Samaritan Hospital, Puyallup
Description from CMS's HCPCS Level II code file.
What MultiCare Good Samaritan Hospital publishes for this code: as an outpatient
MultiCare Good Samaritan Hospital’s prices for HCPCS L1240, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $79.89 – $41220 plans | — |
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| Medicare AdvantageInsurer rates | $93.45 – $1037 plans | — |
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| Cash pricePaying yourself, without insurance | $48.80 | — |
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| List priceBefore any discount; few people pay it | $122 | — |
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Lowest and highest amounts MultiCare Good Samaritan Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
What MultiCare Good Samaritan Hospital publishes for this code: during a hospital stay
MultiCare Good Samaritan Hospital’s prices for HCPCS L1240, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $71.98 – $89.063 plans | — |
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| Cash pricePaying yourself, without insurance | $48.80 | — |
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| List priceBefore any discount; few people pay it | $122 | — |
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Lowest and highest amounts MultiCare Good Samaritan Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS L1240 at MultiCare Good Samaritan Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The service | — | The price above |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS L1240 at every Washington hospital, with Medicare’s reference amounts.