HCPCS L0650
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on 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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $398 – $438 | — | — |
| Deaconess Medical Center | $398 – $438 | — | — |
| Harborview Medical Center | $406 – $447 | — | — |
| Island Hospital | $1,216 – $1,289 | — | — |
| Kadlec Regional Medical Center | $406 – $488 | — | — |
| Mary Bridge Children's Hospital | $398 – $438 | — | — |
| MultiCare Auburn Medical Center | $398 – $438 | — | — |
| MultiCare Covington Medical Center | $398 – $438 | — | — |
| MultiCare Good Samaritan Hospital | $398 – $438 | — | — |
| MultiCare Valley Hospital | $410 – $438 | — | — |
| Olympic Medical Center | $1,277 – $1,642 | — | — |
| Overlake Hospital Medical Center & Clinics | $406 – $423 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $406 – $488 | — | — |
| Providence Centralia Hospital | $406 – $650 | — | — |
| Providence Regional Medical Center Everett | $406 – $447 | — | — |
| Providence St Peter Hospital | $406 – $650 | — | — |
| Swedish Edmonds Hospital | $406 – $488 | — | — |
| Swedish Issaquah | $406 – $488 | $1,788 | $3,724 |
| Swedish Medical Center | $406 – $488 | $1,788 | $3,724 |
| Swedish Medical Center / Cherry Hill | $406 – $488 | $1,788 | $3,724 |
| Tacoma General Allenmore Hospital | $398 – $438 | — | — |
| University of Washington Medical Ctr | $406 – $447 | — | — |
| Virginia Mason Medical Center | $277 – $416 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $398 – $446 | — | — |
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
- $406 (fee)