HCPCS L2116

Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment

Current codeBelow Knee Orthotic23 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 L2116 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$705 – $5,47019 plans$417$1,043
Deaconess Medical CenterSpokaneFile dated 2026-08-27$387 – $3,40516 plans$417$1,043
Harborview Medical CenterSeattleFile dated 2026-04-01$1,309 – $1,6362 plans$990 – $1,002$1,415 – $1,432
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,234 – $2,2985 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$674 – $6,00418 plans$417$1,043
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$685 – $3,53420 plans$417$1,043
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$685 – $3,53420 plans$417$1,043
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$685 – $3,53420 plans$417$1,043
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$387 – $3,39716 plans$417$1,043
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$750 – $2,25110 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,267 – $2,7149 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,383 – $3,0595 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$982 – $1,8987 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$695 – $2,6718 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,227 – $3,0017 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,227 – $1,8167 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,227 – $2,9229 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,227 – $2,9229 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$685 – $3,53420 plans$417$1,043
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,309 – $2,5655 plans$1,475$2,107
Virginia Mason Medical CenterSeattle$783 – $2,8457 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,0641 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$511 – $2,12219 plans$417$1,043

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
$818 (fee)