HCPCS L1260

Addition to tlso, (low profile), anterior thoracic derotation pad

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L1260 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$79.34 – $61616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$110 – $3839 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$147 – $1842 plans$113$161
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$139 – $2595 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$79.34 – $6767 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$77.14 – $39817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$77.14 – $39817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$89.51 – $39812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$88.16 – $38210 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$84.45 – $25310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$143 – $3069 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$156 – $3445 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$111 – $2147 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$78.28 – $3018 plans——
Seattle Children's HospitalSeattle$105 – $18798 plans$195$195
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$138 – $3387 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$138 – $2047 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$138 – $3299 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$138 – $3299 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$77.14 – $39817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$147 – $2895 plans$142$203
Virginia Mason Medical CenterSeattle$88.16 – $3207 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2321 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$79.34 – $23913 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$92.09 (fee)