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HCPCS L0631

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 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$1,255 – $1,3342 plans$628$1,569
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,114 – $1,1452 plans$628$1,569
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,494 – $1,508$2,134 – $2,155
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$395$564
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,026 – $1,2556 plans$628$1,569
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$926 – $1,1453 plans$628$1,569
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$926 – $1,1453 plans$628$1,569
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$926 – $1,1453 plans$628$1,569
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,1302 plans$628$1,569
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$247 – $647$353 – $924
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$146 – $685$280 – $1,318
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$247 – $647$353 – $924
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$233 – $613$333 – $875
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$155 – $3,815$298 – $7,336
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$233 – $613$333 – $875
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$147 – $533$210 – $761
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$146 – $685$280 – $1,318
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$95.76 – $1,716$200 – $3,575
Swedish IssaquahIssaquahFile dated 2026-04-01—$95.76 – $1,716$200 – $3,575
Swedish Medical CenterSeattleFile dated 2026-04-01—$95.76 – $1,716$200 – $3,575
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$95.76 – $1,716$200 – $3,575
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$926 – $1,1453 plans$628$1,569
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,930 – $1,973$2,757 – $2,818
Yakima Valley MemorialYakimaFile dated 2026-08-27$8791 plan$628$1,569

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
$1,231 (fee)