HCPCS L0636

Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated

Current codeLumbar Sacral Orthosis Brace23 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 L0636 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,424 – $11,05016 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,978 – $6,8789 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,644 – $3,3052 plans$2,024$2,892
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,492 – $4,6425 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,424 – $12,1297 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,384 – $7,14017 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,384 – $7,14017 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,607 – $7,14012 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,582 – $6,86310 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,516 – $4,54710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,560 – $5,4839 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,793 – $6,1795 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,983 – $3,8347 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,405 – $5,3968 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,479 – $6,0627 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,479 – $3,6697 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,479 – $5,9039 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,479 – $5,9039 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,384 – $7,14017 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,644 – $5,1835 plans$2,555$3,651
Virginia Mason Medical CenterSeattle$1,582 – $5,7487 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,1701 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,424 – $4,28713 plans——

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
$1,653 (fee)