HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Current code24 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 L2830 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$93.02 – $72219 plans$55.20 – $256$138 – $641
Deaconess Medical CenterSpokaneFile dated 2026-08-27$51.27 – $46816 plans$55.20 – $256$138 – $641
Harborview Medical CenterSeattleFile dated 2026-04-01$173 – $2162 plans$132 – $132$188 – $189
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$163 – $3035 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$89.13 – $79218 plans$55.20 – $256$138 – $641
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$90.44 – $46820 plans$55.20 – $256$138 – $641
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$90.44 – $46820 plans$55.20 – $256$138 – $641
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$90.44 – $46820 plans$55.20 – $256$138 – $641
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$51.27 – $46216 plans$55.20 – $256$138 – $641
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$99.00 – $29710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$167 – $3589 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$182 – $4045 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$130 – $2507 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$91.77 – $3528 plans——
Seattle Children's HospitalSeattle$220 – $39198 plans$407$407
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$162 – $3967 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$162 – $2407 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$162 – $3869 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$162 – $3869 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$90.44 – $46820 plans$55.20 – $256$138 – $641
University of Washington Medical CtrSeattleFile dated 2026-04-01$173 – $3395 plans$175$250
Virginia Mason Medical CenterSeattle$103 – $3757 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2721 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$93.02 – $35719 plans$167$417

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
$108 (fee)