HCPCS L3050
Foot, arch support, removable, premolded, metatarsal, each
Current codeBelow Knee Orthotic24 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 | $55.32 – $60.85 | — | — |
| Deaconess Medical Center | $55.32 – $60.85 | — | — |
| Harborview Medical Center | $56.45 – $62.10 | $69.15 | $98.79 |
| Kadlec Regional Medical Center | $56.45 – $67.74 | — | — |
| Mary Bridge Children's Hospital | $55.32 – $60.85 | — | — |
| MultiCare Auburn Medical Center | $55.32 – $60.85 | — | — |
| MultiCare Covington Medical Center | $55.32 – $60.85 | — | — |
| MultiCare Good Samaritan Hospital | $55.32 – $60.85 | — | — |
| MultiCare Valley Hospital | $56.98 – $60.85 | — | — |
| Overlake Hospital Medical Center & Clinics | $56.45 – $58.71 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $56.45 – $67.74 | — | — |
| Providence Centralia Hospital | $56.45 – $90.32 | — | — |
| Providence Regional Medical Center Everett | $56.45 – $62.10 | — | — |
| Providence St Peter Hospital | $56.45 – $90.32 | — | — |
| Swedish Edmonds Hospital | $56.45 – $67.74 | — | — |
| Swedish Issaquah | $56.45 – $67.74 | — | — |
| Swedish Medical Center | $56.45 – $67.74 | — | — |
| Swedish Medical Center / Cherry Hill | $56.45 – $67.74 | — | — |
| Tacoma General Allenmore Hospital | $55.32 – $60.85 | — | — |
| Three Rivers Hospital | — | $55.28 | $55.28 |
| University of Washington Medical Ctr | $56.45 – $62.10 | — | — |
| Virginia Mason Medical Center | $38.74 – $58.11 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $55.32 – $61.96 | — | — |
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
- $56.45 (fee)