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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $668 – $735 | $348 | $869 |
| Deaconess Medical Center | $668 – $735 | $348 | $869 |
| Harborview Medical Center | $682 – $750 | $836 | $1,194 |
| Highline Medical Center | — | $45.18 – $50.60 | $148 – $166 |
| Kadlec Regional Medical Center | $682 – $819 | — | — |
| Mary Bridge Children's Hospital | $668 – $735 | $348 | $869 |
| MultiCare Auburn Medical Center | $668 – $735 | $348 | $869 |
| MultiCare Covington Medical Center | $668 – $735 | $348 | $869 |
| MultiCare Good Samaritan Hospital | $668 – $735 | $348 | $869 |
| MultiCare Valley Hospital | $688 – $735 | $348 | $869 |
| Overlake Hospital Medical Center & Clinics | $682 – $709 | — | — |
| PeaceHealth Southwest Medical Cente | $682 – $784 | $788 | $1,212 |
| PeaceHealth St John Medical Center | $532 – $750 | $685 | $1,054 |
| PeaceHealth St Joseph Medical Center | $682 – $750 | $467 | $718 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $682 – $819 | — | — |
| Providence Centralia Hospital | $682 – $1,091 | — | — |
| Providence Regional Medical Center Everett | $682 – $750 | — | — |
| Providence St Peter Hospital | $682 – $1,091 | — | — |
| Seattle Children's Hospital | — | $691 | $691 |
| St Anthony Hospital | — | $45.00 – $50.40 | $148 – $166 |
| St Clare Hospital | — | $42.64 – $47.76 | $148 – $166 |
| St Elizabeth Hospital | $26.63 – $36.45 | $52.28 – $58.55 | $148 – $166 |
| St Francis Community Hospital | — | $46.43 – $52.00 | $148 – $166 |
| St Joseph Medical Center | — | $49.00 – $54.88 | $148 – $166 |
| St Michael Medical Center | — | $65.29 – $73.13 | $148 – $166 |
| Swedish Edmonds Hospital | $682 – $819 | — | — |
| Swedish Issaquah | $682 – $819 | — | — |
| Swedish Medical Center | $682 – $819 | — | — |
| Swedish Medical Center / Cherry Hill | $682 – $819 | — | — |
| Tacoma General Allenmore Hospital | $668 – $735 | $348 | $869 |
| University of Washington Medical Ctr | $682 – $750 | $1,055 | $1,508 |
| Virginia Mason Medical Center | $468 – $702 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $668 – $749 | $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)