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Every billing code / HCPCS L1845 / Seattle Children's Hospital

HCPCS L1845 at Seattle Children's Hospital

Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Seattle Children's Hospital, Seattle

Description from CMS's HCPCS Level II code file.

What Seattle Children's Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$120 – $2,16598 plans—
Medicaid managed careInsurer rates$57.24 – $73312 plans—
Medicaid (state program)Insurer rates$56.12 – $5681 plan—
Other government programInsurer rates$91.31 – $9251 plan—
UnknownInsurer rates$56.12 – $2,0305 plans—
Cash pricePaying yourself, without insurance$223 – $2,255—
List priceBefore any discount; few people pay it$223 – $2,255—

Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe service—The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L1845 at every Washington hospital, with Medicare’s reference amounts.