HCPCS L4000
Replace girdle for spinal orthosis (ctlso or so)
Current code23 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 | $1,434 – $11,129 | — | — |
| Deaconess Medical Center | $1,992 – $6,928 | — | — |
| Harborview Medical Center | $2,663 – $3,329 | $2,039 | $2,913 |
| Kadlec Regional Medical Center | $2,510 – $4,676 | — | — |
| Mary Bridge Children's Hospital | $1,434 – $12,216 | — | — |
| MultiCare Auburn Medical Center | $1,394 – $7,192 | — | — |
| MultiCare Covington Medical Center | $1,394 – $7,192 | — | — |
| MultiCare Good Samaritan Hospital | $1,618 – $7,192 | — | — |
| MultiCare Valley Hospital | $1,594 – $6,912 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,527 – $4,580 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,578 – $5,522 | — | — |
| Providence Centralia Hospital | $2,813 – $6,224 | — | — |
| Providence Regional Medical Center Everett | $1,997 – $3,862 | — | — |
| Providence St Peter Hospital | $1,415 – $5,435 | — | — |
| Swedish Edmonds Hospital | $2,497 – $6,106 | — | — |
| Swedish Issaquah | $2,497 – $3,695 | — | — |
| Swedish Medical Center | $2,497 – $5,945 | — | — |
| Swedish Medical Center / Cherry Hill | $2,497 – $5,945 | — | — |
| Tacoma General Allenmore Hospital | $1,394 – $7,192 | — | — |
| University of Washington Medical Ctr | $2,663 – $5,220 | — | — |
| Virginia Mason Medical Center | $1,594 – $5,789 | — | — |
| Wellfound Behavioral Health Hospital | $4,200 | — | — |
| Yakima Valley Memorial | $1,434 – $4,318 | — | — |
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
- $1,665 (fee)