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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $82.80 – $178 | $207 – $445 |
| Deaconess Medical Center | — | $82.80 – $178 | $207 – $445 |
| Harborview Medical Center | — | $194 – $199 | $277 – $284 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $48.75 – $107 | $75.00 – $164 |
| Mary Bridge Children's Hospital | — | $82.80 – $178 | $207 – $445 |
| MultiCare Auburn Medical Center | — | $82.80 – $178 | $207 – $445 |
| MultiCare Covington Medical Center | — | $82.80 – $178 | $207 – $445 |
| MultiCare Good Samaritan Hospital | — | $82.80 – $178 | $207 – $445 |
| MultiCare Valley Hospital | — | $82.80 – $178 | $207 – $445 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $375 | $535 |
| Providence Centralia Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $182 – $230 | $708 | $708 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $82.80 – $178 | $207 – $445 |
| University of Washington Medical Ctr | — | $274 – $280 | $392 – $401 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $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)