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
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $2,100 | $5,250 |
| Deaconess Medical Center | — | $2,100 | $5,250 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $2,100 | $5,250 |
| MultiCare Auburn Medical Center | — | $2,100 | $5,250 |
| MultiCare Covington Medical Center | — | $2,100 | $5,250 |
| MultiCare Good Samaritan Hospital | — | $2,100 | $5,250 |
| MultiCare Valley Hospital | — | $2,100 | $5,250 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Seattle Children's Hospital | $1,366 | $5,420 | $5,420 |
| Tacoma General Allenmore Hospital | — | $2,100 | $5,250 |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | $1,680 | $4,200 |
Medicare (traditional) reference
CMS publishes no national amount for this code.