HCPCS L1290
Addition to tlso, (low profile), lateral trochanteric pad
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 | $79.50 – $617 | $47.20 | $118 |
| Deaconess Medical Center | $43.84 – $384 | $47.20 | $118 |
| Harborview Medical Center | $148 – $185 | $113 | $161 |
| Kadlec Regional Medical Center | $139 – $259 | — | — |
| Mary Bridge Children's Hospital | $76.22 – $677 | $47.20 | $118 |
| MultiCare Auburn Medical Center | $77.29 – $399 | $47.20 | $118 |
| MultiCare Covington Medical Center | $77.29 – $399 | $47.20 | $118 |
| MultiCare Good Samaritan Hospital | $77.29 – $399 | $47.20 | $118 |
| MultiCare Valley Hospital | $43.84 – $383 | $47.20 | $118 |
| Overlake Hospital Medical Center & Clinics | $84.61 – $254 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $143 – $306 | — | — |
| Providence Centralia Hospital | $156 – $345 | — | — |
| Providence Regional Medical Center Everett | $111 – $214 | — | — |
| Providence St Peter Hospital | $78.42 – $301 | — | — |
| Seattle Children's Hospital | $172 – $306 | $319 | $319 |
| Swedish Edmonds Hospital | $138 – $338 | — | — |
| Swedish Issaquah | $138 – $205 | — | — |
| Swedish Medical Center | $138 – $330 | — | — |
| Swedish Medical Center / Cherry Hill | $138 – $330 | — | — |
| Tacoma General Allenmore Hospital | $77.29 – $399 | $47.20 | $118 |
| University of Washington Medical Ctr | $148 – $289 | $127 | $181 |
| Virginia Mason Medical Center | $88.33 – $321 | — | — |
| Wellfound Behavioral Health Hospital | $233 | — | — |
| Yakima Valley Memorial | $57.82 – $239 | $47.20 | $118 |
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
- $92.26 (fee)