HCPCS L0464 at PeaceHealth Southwest Medical Cente

Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

PeaceHealth Southwest Medical Cente, Vancouver

Description from CMS's HCPCS Level II code file.

What PeaceHealth Southwest Medical Cente publishes for this code: as an outpatient

PeaceHealth Southwest Medical Cente’s prices for HCPCS L0464, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$509 – $5,7855 plans	—
Medicare AdvantageInsurer rates	$1,783 – $2,05013 plans	—
Medicaid managed careInsurer rates	$1,8541 plan	—
UnknownInsurer rates	$5092 plans	—
Cash pricePaying yourself, without insurance	$331	—
List priceBefore any discount; few people pay it	$509	—

Lowest and highest amounts PeaceHealth Southwest Medical Cente lists for this code as an outpatient, including lines it lists for both settings or without saying which. 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 L0464 at PeaceHealth Southwest Medical Cente
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 L0464 at every Washington hospital, with Medicare’s reference amounts.