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
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 | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| Cascade Valley Hospital | $73.17 – $672 | $47.60 – $52.00 | $59.50 – $65.00 |
| Deaconess Medical Center | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| Harborview Medical Center | $71.08 – $78.19 | $24.49 – $62.20 | $34.99 – $88.85 |
| Highline Medical Center | — | $11.43 – $14.88 | $37.41 – $48.70 |
| Kadlec Regional Medical Center | $71.08 – $85.30 | $12.70 – $44.21 | $18.14 – $63.16 |
| Mary Bridge Children's Hospital | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Auburn Medical Center | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Covington Medical Center | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Good Samaritan Hospital | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| MultiCare Valley Hospital | $71.75 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| Olympic Medical Center | — | $20.80 | $26.00 |
| Overlake Hospital Medical Center & Clinics | $71.08 – $73.92 | — | — |
| PeaceHealth Southwest Medical Cente | $71.08 – $81.74 | $82.55 | $127 |
| PeaceHealth St John Medical Center | $55.44 – $78.19 | $50.05 | $77.00 |
| PeaceHealth St Joseph Medical Center | $71.08 – $78.19 | $54.60 | $84.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $71.08 – $85.30 | $27.27 – $94.97 | $38.96 – $136 |
| Providence Centralia Hospital | $71.08 – $114 | $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 | $71.08 – $78.19 | $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 | $71.08 – $114 | $16.06 – $55.91 | $30.88 – $108 |
| Skagit Valley Hospital | — | $47.60 – $52.00 | $59.50 – $65.00 |
| St Anthony Hospital | — | $11.38 – $14.82 | $37.41 – $48.70 |
| St Clare Hospital | — | $10.79 – $14.04 | $37.41 – $48.70 |
| St Elizabeth Hospital | $6.74 – $10.72 | $13.22 – $17.21 | $37.41 – $48.70 |
| St Francis Community Hospital | — | $11.75 – $15.29 | $37.41 – $48.70 |
| St Joseph Medical Center | — | $12.40 – $16.13 | $37.41 – $48.70 |
| St Michael Medical Center | — | $16.52 – $21.50 | $37.41 – $48.70 |
| Swedish Edmonds Hospital | $71.08 – $85.30 | $10.56 – $91.95 | $22.00 – $192 |
| Swedish Issaquah | $71.08 – $85.30 | $10.56 – $148 | $22.00 – $308 |
| Swedish Medical Center | $71.08 – $85.30 | $10.56 – $94.08 | $22.00 – $196 |
| Swedish Medical Center / Cherry Hill | $71.08 – $85.30 | $10.56 – $110 | $22.00 – $228 |
| Tacoma General Allenmore Hospital | $69.66 – $76.62 | $23.60 – $36.40 | $59.00 – $91.00 |
| Three Rivers Hospital | — | $24.56 – $336 | $24.56 – $336 |
| University of Washington Medical Ctr | $71.08 – $78.19 | $21.20 – $109 | $30.28 – $156 |
| Virginia Mason Medical Center | $48.78 – $73.17 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $69.66 – $78.02 | $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)