HCPCS L3100
Hallus-valgus night dynamic splint, prefabricated, off-the-shelf
Current codeBelow Knee Orthotic23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $44.69 – $347 | $26.40 | $66.00 |
| Deaconess Medical Center | $24.52 – $216 | $26.40 | $66.00 |
| Harborview Medical Center | $82.98 – $104 | $45.37 | $64.82 |
| Kadlec Regional Medical Center | $78.22 – $146 | — | — |
| Mary Bridge Children's Hospital | $42.63 – $381 | $26.40 | $66.00 |
| MultiCare Auburn Medical Center | $43.44 – $224 | $26.40 | $66.00 |
| MultiCare Covington Medical Center | $43.44 – $224 | $26.40 | $66.00 |
| MultiCare Good Samaritan Hospital | $43.44 – $224 | $26.40 | $66.00 |
| MultiCare Valley Hospital | $24.52 – $215 | $26.40 | $66.00 |
| Overlake Hospital Medical Center & Clinics | $47.57 – $143 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $80.33 – $172 | — | — |
| Providence Centralia Hospital | $87.64 – $194 | — | — |
| Providence Regional Medical Center Everett | $62.23 – $120 | — | — |
| Providence St Peter Hospital | $44.08 – $169 | — | — |
| Swedish Edmonds Hospital | $77.79 – $190 | — | — |
| Swedish Issaquah | $77.79 – $115 | — | — |
| Swedish Medical Center | $77.79 – $185 | — | — |
| Swedish Medical Center / Cherry Hill | $77.79 – $185 | — | — |
| Tacoma General Allenmore Hospital | $43.44 – $224 | $26.40 | $66.00 |
| University of Washington Medical Ctr | $82.98 – $163 | — | — |
| Virginia Mason Medical Center | $49.65 – $180 | — | — |
| Wellfound Behavioral Health Hospital | $131 | — | — |
| Yakima Valley Memorial | $32.34 – $135 | $26.40 | $66.00 |
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)