HCPCS L3500

Orthopedic shoe addition, insole, leather

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 L3500 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$30.23 – $23516 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$41.99 – $1469 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$56.14 – $70.182 plans$42.98$61.40
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$52.91 – $98.575 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$30.23 – $2587 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$29.39 – $15217 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$29.39 – $15217 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$34.11 – $15212 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$33.59 – $14610 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$32.18 – $96.5310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$54.34 – $1169 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$59.30 – $1315 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$42.11 – $81.417 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$29.83 – $1158 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$52.64 – $1297 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$52.64 – $77.907 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$52.64 – $1259 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$52.64 – $1259 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$29.39 – $15217 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$56.14 – $1105 plans——
Virginia Mason Medical CenterSeattle$33.59 – $1227 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$88.551 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$30.23 – $91.0213 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

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
$35.09 (fee)