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 | $51.39 – $433 | $30.40 | $76.00 |
| Deaconess Medical Center | $28.23 – $412 | $30.40 | $76.00 |
| Harborview Medical Center | $96.64 – $121 | — | — |
| Island Hospital | $299 – $337 | — | — |
| Kadlec Regional Medical Center | $102 – $320 | — | — |
| Mary Bridge Children's Hospital | $49.09 – $726 | $30.40 | $76.00 |
| MultiCare Auburn Medical Center | $49.96 – $428 | $30.40 | $76.00 |
| MultiCare Covington Medical Center | $49.96 – $428 | $30.40 | $76.00 |
| MultiCare Good Samaritan Hospital | $49.96 – $428 | $30.40 | $76.00 |
| MultiCare Valley Hospital | $28.23 – $411 | $30.40 | $76.00 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $66.44 – $584 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $102 – $329 | — | — |
| Providence Centralia Hospital | $102 – $401 | — | — |
| Providence Regional Medical Center Everett | $72.48 – $381 | — | — |
| Providence St Peter Hospital | $51.34 – $536 | — | — |
| Swedish Edmonds Hospital | $90.60 – $779 | — | — |
| Swedish Issaquah | $90.60 – $450 | — | — |
| Swedish Medical Center | $90.60 – $450 | — | — |
| Swedish Medical Center / Cherry Hill | $90.60 – $538 | — | — |
| Tacoma General Allenmore Hospital | $49.96 – $428 | $30.40 | $76.00 |
| University of Washington Medical Ctr | $96.64 – $189 | — | — |
| Virginia Mason Medical Center | $57.10 – $274 | — | — |
| Wellfound Behavioral Health Hospital | $152 | — | — |
| Yakima Valley Memorial | $37.24 – $519 | $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)