HCPCS L1840

Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Current codeKnee Orthosis23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L1840 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,053 – $8,17219 plans$623$1,558
Deaconess Medical CenterSpokaneFile dated 2026-08-27$579 – $5,08716 plans$623$1,558
Harborview Medical CenterSeattleFile dated 2026-04-01$1,956 – $2,4442 plans$1,497$2,139
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,843 – $3,4335 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,006 – $8,97018 plans$623$1,558
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,024 – $5,28120 plans$623$1,558
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,024 – $5,28120 plans$623$1,558
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,024 – $5,28120 plans$623$1,558
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$579 – $5,07516 plans$623$1,558
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,121 – $3,36310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,893 – $4,0559 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,066 – $4,5705 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,467 – $2,8367 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,039 – $3,9918 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,833 – $4,4847 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,833 – $2,7137 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,833 – $4,3659 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,833 – $4,3659 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,024 – $5,28120 plans$623$1,558
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,956 – $3,8335 plans$1,890$2,700
Virginia Mason Medical CenterSeattle$1,170 – $4,2517 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,0841 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$763 – $3,17119 plans$623$1,558

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
$1,222 (fee)