HCPCS L1620
Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Current code25 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 | $140 – $1,085 | $82.80 – $178 | $207 – $445 |
| Deaconess Medical Center | $76.90 – $675 | $82.80 – $178 | $207 – $445 |
| Harborview Medical Center | $260 – $324 | $194 – $199 | $277 – $284 |
| Kadlec Regional Medical Center | $245 – $456 | — | — |
| Legacy Salmon Creek Medical Center | — | $48.75 – $107 | $75.00 – $164 |
| Mary Bridge Children's Hospital | $134 – $1,190 | $82.80 – $178 | $207 – $445 |
| MultiCare Auburn Medical Center | $136 – $701 | $82.80 – $178 | $207 – $445 |
| MultiCare Covington Medical Center | $136 – $701 | $82.80 – $178 | $207 – $445 |
| MultiCare Good Samaritan Hospital | $136 – $701 | $82.80 – $178 | $207 – $445 |
| MultiCare Valley Hospital | $76.90 – $674 | $82.80 – $178 | $207 – $445 |
| Overlake Hospital Medical Center & Clinics | $149 – $446 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $251 – $538 | $375 | $535 |
| Providence Centralia Hospital | $274 – $607 | — | — |
| Providence Regional Medical Center Everett | $195 – $376 | — | — |
| Providence St Peter Hospital | $138 – $530 | — | — |
| Seattle Children's Hospital | $382 – $679 | $708 | $708 |
| Swedish Edmonds Hospital | $243 – $595 | — | — |
| Swedish Issaquah | $243 – $360 | — | — |
| Swedish Medical Center | $243 – $579 | — | — |
| Swedish Medical Center / Cherry Hill | $243 – $579 | — | — |
| Tacoma General Allenmore Hospital | $136 – $701 | $82.80 – $178 | $207 – $445 |
| University of Washington Medical Ctr | $260 – $509 | $274 – $280 | $392 – $401 |
| Virginia Mason Medical Center | $155 – $564 | — | — |
| Wellfound Behavioral Health Hospital | $409 | — | — |
| Yakima Valley Memorial | $101 – $421 | $82.80 – $112 | $207 – $279 |
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
- $162 (fee)