HCPCS L3540
Orthopedic shoe addition, sole, full
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 | $59.82 – $65.80 | — | — |
| Deaconess Medical Center | $59.82 – $65.80 | — | — |
| Harborview Medical Center | $61.04 – $67.14 | $74.77 | $107 |
| Kadlec Regional Medical Center | $61.04 – $73.25 | — | — |
| Mary Bridge Children's Hospital | $59.82 – $65.80 | — | — |
| MultiCare Auburn Medical Center | $59.82 – $65.80 | — | — |
| MultiCare Covington Medical Center | $59.82 – $65.80 | — | — |
| MultiCare Good Samaritan Hospital | $59.82 – $65.80 | — | — |
| MultiCare Valley Hospital | $61.61 – $65.80 | — | — |
| Overlake Hospital Medical Center & Clinics | $61.04 – $63.48 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $61.04 – $73.25 | — | — |
| Providence Centralia Hospital | $61.04 – $97.66 | — | — |
| Providence Regional Medical Center Everett | $61.04 – $67.14 | — | — |
| Providence St Peter Hospital | $61.04 – $97.66 | — | — |
| Swedish Edmonds Hospital | $61.04 – $73.25 | — | — |
| Swedish Issaquah | $61.04 – $73.25 | — | — |
| Swedish Medical Center | $61.04 – $73.25 | — | — |
| Swedish Medical Center / Cherry Hill | $61.04 – $73.25 | — | — |
| Tacoma General Allenmore Hospital | $59.82 – $65.80 | — | — |
| University of Washington Medical Ctr | $61.04 – $67.14 | $95.58 | $137 |
| Virginia Mason Medical Center | $41.89 – $62.83 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $59.82 – $67.00 | — | — |
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
- $61.04 (fee)