HCPCS L3650
Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf
Current code41 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 | $43.07 – $475 | $23.60 – $36.40 | $59.00 – $91.00 |
| Cascade Valley Hospital | $5.06 – $668 | $47.60 – $52.00 | $59.50 – $65.00 |
| Deaconess Medical Center | $21.92 – $296 | $23.60 – $36.40 | $59.00 – $91.00 |
| Harborview Medical Center | $114 – $142 | $24.49 – $62.20 | $34.99 – $88.85 |
| Highline Medical Center | $16.09 – $274 | $11.43 – $14.88 | $37.41 – $48.70 |
| Kadlec Regional Medical Center | $107 – $200 | $12.70 – $44.21 | $18.14 – $63.16 |
| Mary Bridge Children's Hospital | $38.11 – $522 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Auburn Medical Center | $43.07 – $307 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Covington Medical Center | $43.07 – $307 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Good Samaritan Hospital | $43.07 – $307 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Valley Hospital | $21.92 – $295 | $23.60 – $36.40 | $59.00 – $91.00 |
| Olympic Medical Center | $14.53 – $26.00 | $20.80 | $26.00 |
| Overlake Hospital Medical Center & Clinics | $65.20 – $196 | — | — |
| PeaceHealth Southwest Medical Cente | $28.43 – $231 | $82.55 | $127 |
| PeaceHealth St John Medical Center | $28.43 – $85.13 | $50.05 | $77.00 |
| PeaceHealth St Joseph Medical Center | $84.00 – $85.13 | $54.60 | $84.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $110 – $236 | $27.27 – $94.97 | $38.96 – $136 |
| Providence Centralia Hospital | $120 – $266 | $16.06 – $55.91 | $30.88 – $108 |
| Providence Holy Family Hospital | — | $27.27 – $94.97 | $38.96 – $136 |
| Providence Mount Carmel Hospital | — | $25.67 – $89.38 | $36.67 – $128 |
| Providence Regional Medical Center Everett | $85.30 – $165 | $17.06 – $59.40 | $32.81 – $114 |
| Providence St Joseph Hospital | — | $25.67 – $89.38 | $36.67 – $128 |
| Providence St Mary Medical Center | — | $16.21 – $548 | $23.16 – $783 |
| Providence St Peter Hospital | $60.42 – $232 | $16.06 – $55.91 | $30.88 – $108 |
| Skagit Valley Hospital | $47.36 – $211 | $47.60 – $52.00 | $59.50 – $65.00 |
| St Anthony Hospital | $18.71 – $345 | $11.38 – $14.82 | $37.41 – $48.70 |
| St Clare Hospital | $18.71 – $345 | $10.79 – $14.04 | $37.41 – $48.70 |
| St Elizabeth Hospital | $12.46 – $345 | $13.22 – $17.21 | $37.41 – $48.70 |
| St Francis Community Hospital | $18.71 – $345 | $11.75 – $15.29 | $37.41 – $48.70 |
| St Joseph Medical Center | $18.71 – $345 | $12.40 – $16.13 | $37.41 – $48.70 |
| St Michael Medical Center | $23.95 – $313 | $16.52 – $21.50 | $37.41 – $48.70 |
| Swedish Edmonds Hospital | $107 – $261 | $10.56 – $91.95 | $22.00 – $192 |
| Swedish Issaquah | $107 – $158 | $10.56 – $148 | $22.00 – $308 |
| Swedish Medical Center | $107 – $254 | $10.56 – $94.08 | $22.00 – $196 |
| Swedish Medical Center / Cherry Hill | $107 – $254 | $10.56 – $110 | $22.00 – $228 |
| Tacoma General Allenmore Hospital | $43.07 – $307 | $23.60 – $36.40 | $59.00 – $91.00 |
| Three Rivers Hospital | — | $24.56 – $336 | $24.56 – $336 |
| University of Washington Medical Ctr | $114 – $223 | $21.20 – $109 | $30.28 – $156 |
| Virginia Mason Medical Center | $68.06 – $247 | — | — |
| Wellfound Behavioral Health Hospital | $179 | — | — |
| Yakima Valley Memorial | $10.78 – $184 | $8.80 – $36.40 | $22.00 – $91.00 |
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
- $71.08 (fee)