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
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 | $50.82 – $55.91 | $26.40 | $66.00 |
| Deaconess Medical Center | $50.82 – $55.91 | $26.40 | $66.00 |
| Harborview Medical Center | $51.86 – $57.05 | $45.37 | $64.82 |
| Kadlec Regional Medical Center | $51.86 – $62.23 | — | — |
| Mary Bridge Children's Hospital | $50.82 – $55.91 | $26.40 | $66.00 |
| MultiCare Auburn Medical Center | $50.82 – $55.91 | $26.40 | $66.00 |
| MultiCare Covington Medical Center | $50.82 – $55.91 | $26.40 | $66.00 |
| MultiCare Good Samaritan Hospital | $50.82 – $55.91 | $26.40 | $66.00 |
| MultiCare Valley Hospital | $52.35 – $55.91 | $26.40 | $66.00 |
| Overlake Hospital Medical Center & Clinics | $51.86 – $53.93 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $51.86 – $62.23 | — | — |
| Providence Centralia Hospital | $51.86 – $82.98 | — | — |
| Providence Regional Medical Center Everett | $51.86 – $57.05 | — | — |
| Providence St Peter Hospital | $51.86 – $82.98 | — | — |
| Swedish Edmonds Hospital | $51.86 – $62.23 | — | — |
| Swedish Issaquah | $51.86 – $62.23 | — | — |
| Swedish Medical Center | $51.86 – $62.23 | — | — |
| Swedish Medical Center / Cherry Hill | $51.86 – $62.23 | — | — |
| Tacoma General Allenmore Hospital | $50.82 – $55.91 | $26.40 | $66.00 |
| University of Washington Medical Ctr | $51.86 – $57.05 | — | — |
| Virginia Mason Medical Center | $35.59 – $53.38 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $50.82 – $56.92 | $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)