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HCPCS L0627

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, 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 padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Current codeLumbar Sacral Orthosis Brace27 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$502 – $2,1342 plans$251 – $1,004$628 – $2,510
Deaconess Medical CenterSpokaneFile dated 2026-08-27$446 – $1,8322 plans$251 – $1,004$628 – $2,510
Harborview Medical CenterSeattleFile dated 2026-04-01—$598 – $1,898$854 – $2,711
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$237 – $972$338 – $1,388
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$411 – $2,0086 plans$251 – $1,004$628 – $2,510
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$371 – $1,8323 plans$251 – $1,004$628 – $2,510
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$371 – $1,8323 plans$251 – $1,004$628 – $2,510
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$371 – $1,8323 plans$251 – $1,004$628 – $2,510
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$452 – $1,8072 plans$251 – $1,004$628 – $2,510
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$185 – $977$264 – $1,396
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$187 – $1,504$360 – $2,893
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$185 – $977$264 – $1,396
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$175 – $931$250 – $1,330
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$199 – $1,641$383 – $3,156
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$175 – $931$250 – $1,330
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$152 – $1,015$218 – $1,450
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$187 – $1,504$360 – $2,893
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$123 – $995$257 – $2,073
Swedish IssaquahIssaquahFile dated 2026-04-01—$123 – $995$257 – $2,073
Swedish Medical CenterSeattleFile dated 2026-04-01—$123 – $995$257 – $2,073
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$123 – $995$257 – $2,073
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$371 – $1,8323 plans$251 – $1,004$628 – $2,510
University of Washington Medical CtrSeattleFile dated 2026-04-01—$744 – $1,656$1,063 – $2,366
Yakima Valley MemorialYakimaFile dated 2026-08-27$352 – $9871 plan$251 – $705$628 – $1,762

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$493 (fee)