HCPCS L2114
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment
Current codeBelow Knee Orthotic34 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $588 – $4,561 | $348 | $869 |
| Deaconess Medical Center | $323 – $2,839 | $348 | $869 |
| Harborview Medical Center | $1,091 – $1,364 | $836 | $1,194 |
| Highline Medical Center | $63.61 – $2,631 | $45.18 – $50.60 | $148 – $166 |
| Kadlec Regional Medical Center | $1,029 – $1,916 | — | — |
| Mary Bridge Children's Hospital | $561 – $5,006 | $348 | $869 |
| MultiCare Auburn Medical Center | $571 – $2,947 | $348 | $869 |
| MultiCare Covington Medical Center | $571 – $2,947 | $348 | $869 |
| MultiCare Good Samaritan Hospital | $571 – $2,947 | $348 | $869 |
| MultiCare Valley Hospital | $323 – $2,832 | $348 | $869 |
| Overlake Hospital Medical Center & Clinics | $626 – $1,877 | — | — |
| PeaceHealth Southwest Medical Cente | $273 – $2,213 | $788 | $1,212 |
| PeaceHealth St John Medical Center | $273 – $1,054 | $685 | $1,054 |
| PeaceHealth St Joseph Medical Center | $718 – $851 | $467 | $718 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,056 – $2,263 | — | — |
| Providence Centralia Hospital | $1,153 – $2,550 | — | — |
| Providence Regional Medical Center Everett | $819 – $1,582 | — | — |
| Providence St Peter Hospital | $580 – $2,227 | — | — |
| Seattle Children's Hospital | $373 – $664 | $691 | $691 |
| St Anthony Hospital | $73.97 – $3,306 | $45.00 – $50.40 | $148 – $166 |
| St Clare Hospital | $73.97 – $3,306 | $42.64 – $47.76 | $148 – $166 |
| St Elizabeth Hospital | $49.27 – $3,306 | $52.28 – $58.55 | $148 – $166 |
| St Francis Community Hospital | $73.97 – $3,306 | $46.43 – $52.00 | $148 – $166 |
| St Joseph Medical Center | $73.97 – $3,306 | $49.00 – $54.88 | $148 – $166 |
| St Michael Medical Center | $94.68 – $3,000 | $65.29 – $73.13 | $148 – $166 |
| Swedish Edmonds Hospital | $1,023 – $2,502 | — | — |
| Swedish Issaquah | $1,023 – $1,514 | — | — |
| Swedish Medical Center | $1,023 – $2,436 | — | — |
| Swedish Medical Center / Cherry Hill | $1,023 – $2,436 | — | — |
| Tacoma General Allenmore Hospital | $571 – $2,947 | $348 | $869 |
| University of Washington Medical Ctr | $1,091 – $2,139 | $1,055 | $1,508 |
| Virginia Mason Medical Center | $653 – $2,372 | — | — |
| Wellfound Behavioral Health Hospital | $1,721 | — | — |
| Yakima Valley Memorial | $426 – $1,769 | $348 | $869 |
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
- $682 (fee)