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
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 | $19.20 – $87.55 | $9.60 – $41.20 | $24.00 – $103 |
| Cascade Valley Hospital | $29.38 – $993 | $794 | $993 |
| Deaconess Medical Center | $17.04 – $75.19 | $9.60 – $41.20 | $24.00 – $103 |
| Harborview Medical Center | — | $16.49 | $23.56 |
| Kadlec Regional Medical Center | — | $18.72 | $26.74 |
| Legacy Salmon Creek Medical Center | — | $9.75 | $15.00 |
| Mary Bridge Children's Hospital | $15.70 – $82.40 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Auburn Medical Center | $14.16 – $75.19 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Covington Medical Center | $14.16 – $75.19 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Good Samaritan Hospital | $14.16 – $75.19 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Valley Hospital | $17.28 – $74.16 | $9.60 – $41.20 | $24.00 – $103 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $40.21 – $189 | $57.44 – $271 |
| Providence Centralia Hospital | — | $23.67 – $33.49 | $45.52 – $64.40 |
| Providence Holy Family Hospital | — | $40.21 | $57.44 |
| Providence Mount Carmel Hospital | — | $37.84 | $54.05 |
| Providence Regional Medical Center Everett | — | $25.15 | $48.36 |
| Providence St Joseph Hospital | — | $37.84 | $54.05 |
| Providence St Mary Medical Center | — | $23.90 | $34.14 |
| Providence St Peter Hospital | — | $23.67 | $45.52 |
| Skagit Valley Hospital | $28.78 – $943 | $794 | $993 |
| Swedish Edmonds Hospital | — | $15.57 – $85.44 | $32.43 – $178 |
| Swedish Issaquah | — | $15.57 – $85.44 | $32.43 – $178 |
| Swedish Medical Center | — | $15.57 – $85.44 | $32.43 – $178 |
| Swedish Medical Center / Cherry Hill | — | $15.57 – $85.44 | $32.43 – $178 |
| Tacoma General Allenmore Hospital | $14.16 – $75.19 | $9.60 – $41.20 | $24.00 – $103 |
| Trios Health | — | — | $74.43 |
| University of Washington Medical Ctr | — | $93.88 | $134 |
| Yakima Valley Memorial | $13.44 – $35.84 | $9.60 – $25.60 | $24.00 – $64.00 |
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
- $18.85 (fee)