HCPCS L0625

Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf

Current codeLumbar Sacral Orthosis Brace33 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 L0625 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$16.04 – $13519 plans$9.60 – $41.20$24.00 – $103
Cascade Valley HospitalArlington$29.38 – $99310 plans$794$993
Deaconess Medical CenterSpokaneFile dated 2026-08-27$8.92 – $12816 plans$9.60 – $41.20$24.00 – $103
Harborview Medical CenterSeattleFile dated 2026-04-01$30.16 – $37.702 plans$16.49$23.56
Island HospitalAnacortes$93.26 – $1054 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$31.86 – $99.625 plans$18.72$26.74
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$9.75$15.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$15.50 – $22618 plans$9.60 – $41.20$24.00 – $103
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$15.59 – $13320 plans$9.60 – $41.20$24.00 – $103
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$15.59 – $13320 plans$9.60 – $41.20$24.00 – $103
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$15.59 – $13320 plans$9.60 – $41.20$24.00 – $103
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$8.92 – $12816 plans$9.60 – $41.20$24.00 – $103
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$20.74 – $18210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$31.86 – $1029 plans$40.21 – $189$57.44 – $271
Providence Centralia HospitalCentraliaFile dated 2026-04-01$31.86 – $1255 plans$23.67 – $33.49$45.52 – $64.40
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$40.21$57.44
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$37.84$54.05
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$22.62 – $1187 plans$25.15$48.36
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$37.84$54.05
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$23.90$34.14
Providence St Peter HospitalOlympiaFile dated 2026-04-01$16.02 – $1678 plans$23.67$45.52
Skagit Valley HospitalMount Vernon$28.78 – $9439 plans$794$993
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$28.28 – $2427 plans$15.57 – $85.44$32.43 – $178
Swedish IssaquahIssaquahFile dated 2026-04-01$28.28 – $1407 plans$15.57 – $85.44$32.43 – $178
Swedish Medical CenterSeattleFile dated 2026-04-01$28.28 – $1409 plans$15.57 – $85.44$32.43 – $178
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$28.28 – $1679 plans$15.57 – $85.44$32.43 – $178
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$15.59 – $13320 plans$9.60 – $41.20$24.00 – $103
Trios HealthKennewick——$74.43
University of Washington Medical CtrSeattleFile dated 2026-04-01$30.16 – $59.125 plans$93.88$134
Virginia Mason Medical CenterSeattle$17.82 – $85.257 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$47.571 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$11.76 – $16219 plans$9.60 – $25.60$24.00 – $64.00

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
$18.85 (fee)