HCPCS L1280
Addition to tlso, (low profile), rib gusset (elastic), each
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 | $88.87 – $690 | $52.40 | $131 |
| Deaconess Medical Center | $48.67 – $429 | $52.40 | $131 |
| Harborview Medical Center | $165 – $206 | $126 | $180 |
| Kadlec Regional Medical Center | $156 – $290 | — | — |
| Mary Bridge Children's Hospital | $84.61 – $757 | $52.40 | $131 |
| MultiCare Auburn Medical Center | $86.40 – $446 | $52.40 | $131 |
| MultiCare Covington Medical Center | $86.40 – $446 | $52.40 | $131 |
| MultiCare Good Samaritan Hospital | $86.40 – $446 | $52.40 | $131 |
| MultiCare Valley Hospital | $48.67 – $428 | $52.40 | $131 |
| Overlake Hospital Medical Center & Clinics | $94.58 – $284 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $160 – $342 | — | — |
| Providence Centralia Hospital | $174 – $386 | — | — |
| Providence Regional Medical Center Everett | $124 – $239 | — | — |
| Providence St Peter Hospital | $87.66 – $337 | — | — |
| Seattle Children's Hospital | $294 – $522 | $544 | $544 |
| Swedish Edmonds Hospital | $155 – $378 | — | — |
| Swedish Issaquah | $155 – $229 | — | — |
| Swedish Medical Center | $155 – $368 | — | — |
| Swedish Medical Center / Cherry Hill | $155 – $368 | — | — |
| Tacoma General Allenmore Hospital | $86.40 – $446 | $52.40 | $131 |
| University of Washington Medical Ctr | $165 – $323 | $161 | $230 |
| Virginia Mason Medical Center | $98.74 – $359 | — | — |
| Wellfound Behavioral Health Hospital | $260 | — | — |
| Yakima Valley Memorial | $64.19 – $268 | $52.40 | $131 |
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
- $103 (fee)