HCPCS L1830

Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Current codeKnee Orthosis42 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS L1830 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$38.40 – $267$96.00 – $667
Cascade Valley HospitalArlington—$66.40$83.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$38.40 – $267$96.00 – $667
Harborview Medical CenterSeattleFile dated 2026-04-01—$54.05 – $170$77.21 – $243
Highline Medical CenterBurienFile dated 2026-02-28—$16.82 – $116$55.08 – $379
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$31.75 – $92.12$45.35 – $132
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$38.40 – $267$96.00 – $667
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$38.40 – $267$96.00 – $667
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$38.40 – $267$96.00 – $667
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$38.40 – $267$96.00 – $667
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$38.40 – $267$96.00 – $667
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$19.20 – $60.00$24.00 – $75.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$21.77$43.54
PeaceHealth Southwest Medical CenteVancouver—$230$354
PeaceHealth St John Medical CenterLongview—$230$354
PeaceHealth St Joseph Medical CenterBellingham—$204$314
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$65.58 – $370$93.68 – $528
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$40.14 – $392$77.20 – $753
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$68.19 – $272$97.41 – $388
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$64.17 – $256$91.67 – $365
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$41.02 – $170$78.88 – $327
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$64.17 – $256$91.67 – $365
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$38.98 – $162$55.68 – $231
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$38.60 – $392$74.24 – $753
Seattle Children's HospitalSeattle$7.03 – $9.371 plan$27.90 – $37.20$27.90 – $37.20
Skagit Valley HospitalMount Vernon—$66.40$83.00
St Anthony HospitalGig HarborFile dated 2026-02-28—$16.76 – $115$55.08 – $379
St Clare HospitalLakewoodFile dated 2026-02-28—$15.88 – $109$55.08 – $379
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$19.47 – $134$55.08 – $379
St Francis Community HospitalFederal WayFile dated 2026-02-28—$17.29 – $119$55.08 – $379
St Joseph Medical CenterTacomaFile dated 2026-02-28—$18.25 – $126$55.08 – $379
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$24.31 – $167$55.08 – $379
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$25.39 – $105$52.89 – $219
Swedish IssaquahIssaquahFile dated 2026-04-01—$25.39 – $170$52.89 – $355
Swedish Medical CenterSeattleFile dated 2026-04-01—$25.39 – $170$52.89 – $355
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$25.39 – $170$52.89 – $355
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$38.40 – $267$96.00 – $667
University of Washington Medical CtrSeattleFile dated 2026-04-01—$67.49 – $210$96.42 – $300
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27—$23.60 – $174$59.00 – $436

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$63.18 (fee)