HCPCS L0472

Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment

Current code28 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 L0472 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$478 – $3,70819 plans$283$707
Deaconess Medical CenterSpokaneFile dated 2026-08-27$263 – $2,30816 plans$283$707
Harborview Medical CenterSeattleFile dated 2026-04-01$887 – $1,1092 plans$673 – $679$961 – $971
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$836 – $1,5585 plans$1,093$1,562
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$457 – $4,07118 plans$283$707
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$465 – $2,39620 plans$283$707
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$465 – $2,39620 plans$283$707
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$465 – $2,39620 plans$283$707
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$263 – $2,30316 plans$283$707
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$509 – $1,52610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$859 – $1,8409 plans$1,047 – $1,099$1,496 – $1,571
Providence Centralia HospitalCentraliaFile dated 2026-04-01$937 – $2,0745 plans$1,692$3,254
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,099$1,571
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,047$1,496
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$666 – $1,2877 plans$1,846$3,550
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,047$1,496
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,142$1,631
Providence St Peter HospitalOlympiaFile dated 2026-04-01$471 – $1,8118 plans$1,692$3,254
Seattle Children's HospitalSeattle$1,043 – $1,85498 plans$1,931$1,931
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$832 – $2,0357 plans$1,119$2,332
Swedish IssaquahIssaquahFile dated 2026-04-01$832 – $1,2317 plans$736 – $1,119$1,533 – $2,332
Swedish Medical CenterSeattleFile dated 2026-04-01$832 – $1,9819 plans$736 – $1,119$1,533 – $2,332
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$832 – $1,9819 plans$736 – $1,119$1,533 – $2,332
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$465 – $2,39620 plans$283$707
University of Washington Medical CtrSeattleFile dated 2026-04-01$887 – $1,7395 plans$903 – $919$1,290 – $1,313
Virginia Mason Medical CenterSeattle$531 – $1,9297 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,4001 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$346 – $1,43919 plans$283$707

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
$555 (fee)