HCPCS L0457

Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf

Current code25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L0457 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$289 – $2,43116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$402 – $2,3179 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$544 – $6812 plans——
Island HospitalAnacortes$1,684 – $1,8944 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$575 – $1,7995 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$289 – $4,0867 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$281 – $2,40617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$281 – $2,40617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$444 – $2,40612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$322 – $2,31210 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$374 – $3,28210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$575 – $1,8489 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$575 – $2,2565 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$408 – $2,1407 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$289 – $3,0158 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$510 – $4,3767 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$510 – $2,5297 plans$1,583$3,297
Swedish Medical CenterSeattleFile dated 2026-04-01$510 – $2,5299 plans$1,583$3,297
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$510 – $3,0249 plans$1,583$3,297
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$281 – $2,40617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$544 – $1,0675 plans——
Virginia Mason Medical CenterSeattle$322 – $1,5397 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$8591 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$289 – $2,91813 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$340 (fee)