HCPCS L1290
Addition to tlso, (low profile), lateral trochanteric pad
Current code24 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 | $90.41 – $99.46 | $47.20 | $118 |
| Deaconess Medical Center | $90.41 – $99.46 | $47.20 | $118 |
| Harborview Medical Center | $92.26 – $101 | $113 | $161 |
| Kadlec Regional Medical Center | $92.26 – $111 | — | — |
| Mary Bridge Children's Hospital | $90.41 – $99.46 | $47.20 | $118 |
| MultiCare Auburn Medical Center | $90.41 – $99.46 | $47.20 | $118 |
| MultiCare Covington Medical Center | $90.41 – $99.46 | $47.20 | $118 |
| MultiCare Good Samaritan Hospital | $90.41 – $99.46 | $47.20 | $118 |
| MultiCare Valley Hospital | $93.13 – $99.46 | $47.20 | $118 |
| Overlake Hospital Medical Center & Clinics | $92.26 – $95.95 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $92.26 – $111 | — | — |
| Providence Centralia Hospital | $92.26 – $148 | — | — |
| Providence Regional Medical Center Everett | $92.26 – $101 | — | — |
| Providence St Peter Hospital | $92.26 – $148 | — | — |
| Seattle Children's Hospital | — | $319 | $319 |
| Swedish Edmonds Hospital | $92.26 – $111 | — | — |
| Swedish Issaquah | $92.26 – $111 | — | — |
| Swedish Medical Center | $92.26 – $111 | — | — |
| Swedish Medical Center / Cherry Hill | $92.26 – $111 | — | — |
| Tacoma General Allenmore Hospital | $90.41 – $99.46 | $47.20 | $118 |
| University of Washington Medical Ctr | $92.26 – $101 | $127 | $181 |
| Virginia Mason Medical Center | $63.32 – $94.97 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $90.41 – $101 | $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)