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 | $166 – $378 | $82.80 – $178 | $207 – $445 |
| Deaconess Medical Center | $147 – $325 | $82.80 – $178 | $207 – $445 |
| Harborview Medical Center | — | $194 – $199 | $277 – $284 |
| Legacy Salmon Creek Medical Center | — | ||
| Mary Bridge Children's Hospital | $135 – $356 | $82.80 – $178 | $207 – $445 |
| MultiCare Auburn Medical Center | $122 – $325 | $82.80 – $178 | $207 – $445 |
| MultiCare Covington Medical Center | $122 – $325 | $82.80 – $178 | $207 – $445 |
| MultiCare Good Samaritan Hospital | $122 – $325 | $82.80 – $178 | $207 – $445 |
| MultiCare Valley Hospital | $149 – $320 | $82.80 – $178 | $207 – $445 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $375 | $535 |
| Seattle Children's Hospital | $382 – $679 | $708 | $708 |
| Tacoma General Allenmore Hospital | $122 – $325 | $82.80 – $178 | $207 – $445 |
| University of Washington Medical Ctr | — | $274 – $280 | $392 – $401 |
| Yakima Valley Memorial | $116 – $156 | $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)