HCPCS L4000
Replace girdle for spinal orthosis (ctlso or so)
Current code23 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 | $1,631 – $1,794 | — | — |
| Deaconess Medical Center | $1,631 – $1,794 | — | — |
| Harborview Medical Center | $1,665 – $1,831 | $2,039 | $2,913 |
| Kadlec Regional Medical Center | $1,665 – $1,997 | — | — |
| Mary Bridge Children's Hospital | $1,631 – $1,794 | — | — |
| MultiCare Auburn Medical Center | $1,631 – $1,794 | — | — |
| MultiCare Covington Medical Center | $1,631 – $1,794 | — | — |
| MultiCare Good Samaritan Hospital | $1,631 – $1,794 | — | — |
| MultiCare Valley Hospital | $1,680 – $1,794 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,665 – $1,731 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,665 – $1,997 | — | — |
| Providence Centralia Hospital | $1,665 – $2,663 | — | — |
| Providence Regional Medical Center Everett | $1,665 – $1,831 | — | — |
| Providence St Peter Hospital | $1,665 – $2,663 | — | — |
| Swedish Edmonds Hospital | $1,665 – $1,997 | — | — |
| Swedish Issaquah | $1,665 – $1,997 | — | — |
| Swedish Medical Center | $1,665 – $1,997 | — | — |
| Swedish Medical Center / Cherry Hill | $1,665 – $1,997 | — | — |
| Tacoma General Allenmore Hospital | $1,631 – $1,794 | — | — |
| University of Washington Medical Ctr | $1,665 – $1,831 | — | — |
| Virginia Mason Medical Center | $1,142 – $1,713 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,631 – $1,827 | — | — |
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)