HCPCS L0638

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, custom fabricated

Current codeLumbar Sacral Orthosis Brace24 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 L0638 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,363 – $10,57816 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,893 – $6,5849 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,531 – $3,1642 plans$1,938$2,769
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,386 – $4,4445 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,363 – $11,6117 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,325 – $6,83517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,325 – $6,83517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,538 – $6,83512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,515 – $6,56910 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,451 – $4,35310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,450 – $5,2489 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,674 – $5,9155 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,898 – $3,6707 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,345 – $5,1658 plans——
Seattle Children's HospitalSeattle$3,359 – $5,97298 plans$6,221$6,221
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,373 – $5,8037 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,373 – $3,5127 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,373 – $5,6519 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,373 – $5,6519 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,325 – $6,83517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,531 – $4,9615 plans$2,572$3,674
Virginia Mason Medical CenterSeattle$1,515 – $5,5027 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,9921 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,363 – $4,10413 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
$1,582 (fee)