HCPCS L0641
Lumbar orthosis, sagittal control, with rigid posterior panel(s), 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, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
Current codeLumbar Sacral Orthosis Brace25 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $22.69 – $191 | — | — |
| Deaconess Medical Center | $31.51 – $182 | — | — |
| Harborview Medical Center | $42.67 – $53.34 | — | — |
| Island Hospital | $132 – $148 | — | — |
| Kadlec Regional Medical Center | $45.07 – $141 | — | — |
| Mary Bridge Children's Hospital | $22.69 – $320 | — | — |
| MultiCare Auburn Medical Center | $22.06 – $189 | — | — |
| MultiCare Covington Medical Center | $22.06 – $189 | — | — |
| MultiCare Good Samaritan Hospital | $34.80 – $189 | — | — |
| MultiCare Valley Hospital | $25.21 – $181 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $29.34 – $257 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $45.07 – $145 | — | — |
| Providence Centralia Hospital | $45.07 – $177 | — | — |
| Providence Regional Medical Center Everett | $32.00 – $168 | — | — |
| Providence St Peter Hospital | $22.67 – $236 | — | — |
| Swedish Edmonds Hospital | $40.01 – $343 | — | — |
| Swedish Issaquah | $40.01 – $198 | — | — |
| Swedish Medical Center | $40.01 – $198 | — | — |
| Swedish Medical Center / Cherry Hill | $40.01 – $237 | — | — |
| Tacoma General Allenmore Hospital | $22.06 – $189 | — | — |
| University of Washington Medical Ctr | $42.67 – $83.64 | — | — |
| Virginia Mason Medical Center | $25.21 – $121 | — | — |
| Wellfound Behavioral Health Hospital | $67.30 | — | — |
| Yakima Valley Memorial | $22.69 – $229 | — | — |
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
- $26.67 (fee)