HCPCS L1852

Knee orthosis (ko), 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, off-the-shelf

Current codeKnee Orthosis25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L1852 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$562 – $6186 plans$282$704
Deaconess Medical CenterSpokaneFile dated 2026-08-27$562 – $6188 plans$282$704
Harborview Medical CenterSeattleFile dated 2026-04-01$573 – $6305 plans$702$1,003
Island HospitalAnacortes$897 – $95111 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$573 – $6887 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$562 – $6187 plans$282$704
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$562 – $6187 plans$282$704
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$562 – $6187 plans$282$704
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$562 – $6187 plans$282$704
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$579 – $6187 plans$282$704
Olympic Medical CenterPort AngelesFile dated 2026-06-24$942 – $1,2125 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$573 – $5963 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$573 – $6887 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$573 – $9177 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$573 – $6306 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$573 – $9177 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$573 – $6888 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$573 – $6888 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$573 – $6888 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$573 – $6888 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$562 – $6187 plans$282$704
University of Washington Medical CtrSeattleFile dated 2026-04-01$573 – $6305 plans$579$827
Virginia Mason Medical CenterSeattle$391 – $5869 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$562 – $6298 plans——

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
$573 (fee)