HCPCS L0642
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, 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, 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 | $120 – $1,005 | — | — |
| Deaconess Medical Center | $166 – $958 | — | — |
| Harborview Medical Center | $225 – $281 | — | — |
| Island Hospital | $696 – $783 | — | — |
| Kadlec Regional Medical Center | $238 – $744 | — | — |
| Mary Bridge Children's Hospital | $120 – $1,689 | — | — |
| MultiCare Auburn Medical Center | $116 – $994 | — | — |
| MultiCare Covington Medical Center | $116 – $994 | — | — |
| MultiCare Good Samaritan Hospital | $184 – $994 | — | — |
| MultiCare Valley Hospital | $133 – $956 | — | — |
| Olympic Medical Center | $117 – $209 | $167 | $209 |
| Overlake Hospital Medical Center & Clinics | $155 – $1,357 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $238 – $764 | — | — |
| Providence Centralia Hospital | $238 – $933 | — | — |
| Providence Regional Medical Center Everett | $169 – $884 | — | — |
| Providence St Peter Hospital | $120 – $1,246 | — | — |
| Swedish Edmonds Hospital | $211 – $1,809 | — | — |
| Swedish Issaquah | $211 – $1,045 | $654 | $1,363 |
| Swedish Medical Center | $211 – $1,045 | $654 | $1,363 |
| Swedish Medical Center / Cherry Hill | $211 – $1,250 | $654 | $1,363 |
| Tacoma General Allenmore Hospital | $116 – $994 | — | — |
| University of Washington Medical Ctr | $225 – $441 | — | — |
| Virginia Mason Medical Center | $133 – $636 | — | — |
| Wellfound Behavioral Health Hospital | $355 | — | — |
| Yakima Valley Memorial | $120 – $1,206 | — | — |
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
- $141 (fee)