HCPCS L3100

Hallus-valgus night dynamic splint, prefabricated, off-the-shelf

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 L3100 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$52.80 – $56.102 plans$26.40$66.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$46.86 – $48.182 plans$26.40$66.00
Harborview Medical CenterSeattleFile dated 2026-04-01—$45.37$64.82
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$43.16 – $52.806 plans$26.40$66.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$38.94 – $48.183 plans$26.40$66.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$38.94 – $48.183 plans$26.40$66.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$38.94 – $48.183 plans$26.40$66.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$47.522 plans$26.40$66.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$38.94 – $48.183 plans$26.40$66.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$36.961 plan$26.40$66.00

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
$51.86 (fee)