HCPCS L3000

Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each

Current codeBelow Knee Orthotic26 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 L3000 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$325 – $2,51919 plans$192$480
Deaconess Medical CenterSpokaneFile dated 2026-08-27$178 – $1,56816 plans$192$480
Harborview Medical CenterSeattleFile dated 2026-04-01$603 – $7542 plans$424 – $462$605 – $659
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$568 – $1,0585 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$310 – $2,76518 plans$192$480
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$316 – $1,62820 plans$192$480
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$316 – $1,62820 plans$192$480
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$316 – $1,62820 plans$192$480
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$178 – $1,56516 plans$192$480
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$346 – $1,03710 plans——
PeaceHealth Southwest Medical CenteVancouver$151 – $1,2235 plans$234$360
PeaceHealth St Joseph Medical CenterBellingham$360 – $4402 plans$234$360
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$584 – $1,2509 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$637 – $1,4095 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$452 – $8747 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$320 – $1,2308 plans——
Seattle Children's HospitalSeattle$555 – $98698 plans$1,027$1,027
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$565 – $1,3827 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$565 – $8377 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$565 – $1,3469 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$565 – $1,3469 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$316 – $1,62820 plans$192$480
University of Washington Medical CtrSeattleFile dated 2026-04-01$603 – $1,1825 plans$568 – $668$811 – $954
Virginia Mason Medical CenterSeattle$361 – $1,3107 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$9511 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$325 – $97713 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
$377 (fee)