HCPCS L3540
Orthopedic shoe addition, sole, full
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 | $52.60 – $408 | — | — |
| Deaconess Medical Center | $73.05 – $254 | — | — |
| Harborview Medical Center | $97.66 – $122 | $74.77 | $107 |
| Kadlec Regional Medical Center | $92.06 – $171 | — | — |
| Mary Bridge Children's Hospital | $52.60 – $448 | — | — |
| MultiCare Auburn Medical Center | $51.14 – $264 | — | — |
| MultiCare Covington Medical Center | $51.14 – $264 | — | — |
| MultiCare Good Samaritan Hospital | $59.34 – $264 | — | — |
| MultiCare Valley Hospital | $58.44 – $253 | — | — |
| Overlake Hospital Medical Center & Clinics | $55.98 – $168 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $94.54 – $203 | — | — |
| Providence Centralia Hospital | $103 – $228 | — | — |
| Providence Regional Medical Center Everett | $73.25 – $142 | — | — |
| Providence St Peter Hospital | $51.88 – $199 | — | — |
| Swedish Edmonds Hospital | $91.56 – $224 | — | — |
| Swedish Issaquah | $91.56 – $136 | — | — |
| Swedish Medical Center | $91.56 – $218 | — | — |
| Swedish Medical Center / Cherry Hill | $91.56 – $218 | — | — |
| Tacoma General Allenmore Hospital | $51.14 – $264 | — | — |
| University of Washington Medical Ctr | $97.66 – $191 | $95.58 | $137 |
| Virginia Mason Medical Center | $58.44 – $212 | — | — |
| Wellfound Behavioral Health Hospital | $154 | — | — |
| Yakima Valley Memorial | $52.60 – $158 | — | — |
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)