HCPCS L0623
Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
Current code25 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $60.80 – $64.60 | $30.40 | $76.00 |
| Deaconess Medical Center | $53.96 – $55.48 | $30.40 | $76.00 |
| Mary Bridge Children's Hospital | $49.70 – $60.80 | $30.40 | $76.00 |
| MultiCare Auburn Medical Center | $44.84 – $55.48 | $30.40 | $76.00 |
| MultiCare Covington Medical Center | $44.84 – $55.48 | $30.40 | $76.00 |
| MultiCare Good Samaritan Hospital | $44.84 – $55.48 | $30.40 | $76.00 |
| MultiCare Valley Hospital | $54.72 | $30.40 | $76.00 |
| Tacoma General Allenmore Hospital | $44.84 – $55.48 | $30.40 | $76.00 |
| Yakima Valley Memorial | $42.56 | $30.40 | $76.00 |
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
- $60.40 (fee)