HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

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 L3170 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$52.60 – $40819 plans$31.20$78.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$28.98 – $25416 plans$31.20$78.00
Harborview Medical CenterSeattleFile dated 2026-04-01$97.66 – $1222 plans$53.41$76.30
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$92.06 – $1715 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$50.38 – $44818 plans$31.20$78.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$51.14 – $26420 plans$31.20$78.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$51.14 – $26420 plans$31.20$78.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$51.14 – $26420 plans$31.20$78.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$28.98 – $25316 plans$31.20$78.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$55.98 – $16810 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$94.54 – $2039 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$103 – $2285 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$73.25 – $1427 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$51.88 – $1998 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$91.56 – $2247 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$91.56 – $1367 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$91.56 – $2189 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$91.56 – $2189 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$51.14 – $26420 plans$31.20$78.00
University of Washington Medical CtrSeattleFile dated 2026-04-01$97.66 – $1915 plans——
Virginia Mason Medical CenterSeattle$58.44 – $2127 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1541 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$38.22 – $15819 plans$31.20$78.00

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$61.04 (fee)