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HCPCS L0637

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, 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, 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 Brace28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,629 – $1,652$2,328 – $2,359
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$395 – $487$564 – $696
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$229 – $2,516$327 – $3,595
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$243 – $724$467 – $1,393
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$229 – $684$327 – $977
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$217 – $648$310 – $925
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$269 – $801$516 – $1,541
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$217 – $648$310 – $925
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$189 – $563$270 – $805
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$243 – $724$467 – $1,393
Seattle Children's HospitalSeattle$529 – $67012 plans$2,060$2,060
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$166 – $1,879$347 – $3,914
Swedish IssaquahIssaquahFile dated 2026-04-01—$166 – $1,879$347 – $3,914
Swedish Medical CenterSeattleFile dated 2026-04-01—$166 – $1,879$347 – $3,914
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$166 – $1,879$347 – $3,914
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$687 – $3,028$1,718 – $7,570
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,037 – $2,086$2,910 – $2,981
Yakima Valley MemorialYakimaFile dated 2026-08-27—$687 – $1,100$1,718 – $2,750

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
$1,348 (fee)