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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| Cascade Valley Hospital | $18.36 – $19.28 | $794 | $993 |
| Deaconess Medical Center | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| Harborview Medical Center | $18.85 – $20.74 | $16.49 | $23.56 |
| Island Hospital | $58.29 – $61.79 | — | — |
| Kadlec Regional Medical Center | $18.85 – $22.62 | $18.72 | $26.74 |
| Legacy Salmon Creek Medical Center | — | $9.75 | $15.00 |
| Mary Bridge Children's Hospital | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Auburn Medical Center | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Covington Medical Center | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Good Samaritan Hospital | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| MultiCare Valley Hospital | $19.03 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| Olympic Medical Center | $61.20 – $78.69 | — | — |
| Overlake Hospital Medical Center & Clinics | $18.85 – $19.60 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $18.85 – $22.62 | $40.21 – $189 | $57.44 – $271 |
| Providence Centralia Hospital | $18.85 – $30.16 | $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 | $18.85 – $20.74 | $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 | $18.85 – $30.16 | $23.67 | $45.52 |
| Skagit Valley Hospital | — | $794 | $993 |
| Swedish Edmonds Hospital | $18.85 – $22.62 | $15.57 – $85.44 | $32.43 – $178 |
| Swedish Issaquah | $18.85 – $22.62 | $15.57 – $85.44 | $32.43 – $178 |
| Swedish Medical Center | $18.85 – $22.62 | $15.57 – $85.44 | $32.43 – $178 |
| Swedish Medical Center / Cherry Hill | $18.85 – $22.62 | $15.57 – $85.44 | $32.43 – $178 |
| Tacoma General Allenmore Hospital | $18.47 – $20.32 | $9.60 – $41.20 | $24.00 – $103 |
| Trios Health | — | — | $74.43 |
| University of Washington Medical Ctr | $18.85 – $20.74 | $93.88 | $134 |
| Virginia Mason Medical Center | $12.85 – $19.28 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $18.47 – $20.69 | $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)