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

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

Prices for HCPCS L0472 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$283$707
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$283$707
Harborview Medical CenterSeattleFile dated 2026-04-01—$673 – $679$961 – $971
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,093$1,562
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$283$707
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$283$707
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$283$707
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$283$707
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$283$707
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,047 – $1,099$1,496 – $1,571
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$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—$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—$1,692$3,254
Seattle Children's HospitalSeattle—$1,931$1,931
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,119$2,332
Swedish IssaquahIssaquahFile dated 2026-04-01—$736 – $1,119$1,533 – $2,332
Swedish Medical CenterSeattleFile dated 2026-04-01—$736 – $1,119$1,533 – $2,332
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$736 – $1,119$1,533 – $2,332
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$283$707
University of Washington Medical CtrSeattleFile dated 2026-04-01—$903 – $919$1,290 – $1,313
Yakima Valley MemorialYakimaFile dated 2026-08-27—$283$707

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)