HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Current codeBelow Knee Orthotic13 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 L3216 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$90.43 – $4716 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2051 plan——
Harborview Medical CenterSeattleFile dated 2026-04-01—$73.19 – $73.77$105 – $105
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$75.251 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$231 – $6102 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$85.19 – $5696 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$85.19 – $5696 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5691 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$140 – $2052 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2251 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$85.19 – $5696 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$110$157
Yakima Valley MemorialYakimaFile dated 2026-08-27$101 – $1175 plans——

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

CMS publishes no national amount for this code.