HCPCS L1833

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Current codeKnee Orthosis30 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 L1833 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1,112$2,779
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1,112$2,779
Harborview Medical CenterSeattleFile dated 2026-04-01—$384 – $396$549 – $565
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$186$266
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1,112$2,779
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1,112$2,779
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$1,112$2,779
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1,112$2,779
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$1,112$2,779
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$261$374
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$277$533
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$261$374
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$248$354
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$306$589
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$248$354
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$215$308
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$277$533
Seattle Children's HospitalSeattle$90.221 plan$358$358
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$81.48 – $190$170 – $395
Swedish IssaquahIssaquahFile dated 2026-04-01—$81.48 – $927$170 – $1,931
Swedish Medical CenterSeattleFile dated 2026-04-01—$81.48 – $927$170 – $1,931
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$81.48 – $927$170 – $1,931
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1,112$2,779
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,077$1,539
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27—$787$1,967

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
$455 (fee)