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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L0457 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$333 – $3676 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$333 – $3678 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$340 – $3745 plans——
Island HospitalAnacortes$1,052 – $1,11611 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$340 – $4087 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$333 – $3677 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$333 – $3677 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$333 – $3677 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$333 – $3677 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$343 – $3677 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,105 – $1,4215 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$340 – $3543 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$340 – $4087 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$340 – $5447 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$340 – $3746 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$340 – $5447 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$340 – $4088 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$340 – $4088 plans$1,583$3,297
Swedish Medical CenterSeattleFile dated 2026-04-01$340 – $4088 plans$1,583$3,297
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$340 – $4088 plans$1,583$3,297
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$333 – $3677 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$340 – $3745 plans——
Virginia Mason Medical CenterSeattle$232 – $3489 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$333 – $3738 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)