HCPCS S1040
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
Current code13 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 | $4,200 – $4,463 | $2,100 | $5,250 |
| Deaconess Medical Center | $3,728 – $3,833 | $2,100 | $5,250 |
| Mary Bridge Children's Hospital | $3,434 – $4,200 | $2,100 | $5,250 |
| MultiCare Auburn Medical Center | $3,098 – $3,833 | $2,100 | $5,250 |
| MultiCare Covington Medical Center | $3,098 – $3,833 | $2,100 | $5,250 |
| MultiCare Good Samaritan Hospital | $3,098 – $3,833 | $2,100 | $5,250 |
| MultiCare Valley Hospital | $3,780 | $2,100 | $5,250 |
| Seattle Children's Hospital | $2,927 – $5,203 | $5,420 | $5,420 |
| Tacoma General Allenmore Hospital | $3,098 – $3,833 | $2,100 | $5,250 |
| Yakima Valley Memorial | $2,352 | $1,680 | $4,200 |
Medicare (traditional) reference
CMS publishes no national amount for this code.