HCPCS L0454 at Tacoma General Allenmore Hospital

Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Tacoma General Allenmore Hospital, Tacoma

Description from CMS's HCPCS Level II code file.

What Tacoma General Allenmore Hospital publishes for this code: as an outpatient

Tacoma General Allenmore Hospital’s prices for HCPCS L0454, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$349 – $1,79720 plans	—
Medicare AdvantageInsurer rates	$408 – $4487 plans	—
Cash pricePaying yourself, without insurance	$207	—
List priceBefore any discount; few people pay it	$518	—

Lowest and highest amounts Tacoma General Allenmore Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

What Tacoma General Allenmore Hospital publishes for this code: during a hospital stay

Tacoma General Allenmore Hospital’s prices for HCPCS L0454, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$306 – $3783 plans	—
Cash pricePaying yourself, without insurance	$207	—
List priceBefore any discount; few people pay it	$518	—

Lowest and highest amounts Tacoma General Allenmore Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L0454 at Tacoma General Allenmore Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L0454 at every Washington hospital, with Medicare’s reference amounts.