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$384 – $4082 plans$192$480
Deaconess Medical CenterSpokaneFile dated 2026-08-27$341 – $3502 plans$192$480
Harborview Medical CenterSeattleFile dated 2026-04-01—$424 – $462$605 – $659
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$314 – $3846 plans$192$480
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$283 – $3503 plans$192$480
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$283 – $3503 plans$192$480
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$283 – $3503 plans$192$480
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3462 plans$192$480
Seattle Children's HospitalSeattle$555 – $98698 plans$1,027$1,027
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$283 – $3503 plans$192$480
University of Washington Medical CtrSeattleFile dated 2026-04-01—$568 – $668$811 – $954

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)