HCPCS L3674 at MultiCare Good Samaritan Hospital

Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment

MultiCare Good Samaritan Hospital, Puyallup

Description from CMS's HCPCS Level II code file.

What MultiCare Good Samaritan Hospital publishes for this code: as an outpatient

MultiCare Good Samaritan Hospital’s prices for HCPCS L3674, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$1,081 – $5,57520 plans	—
Medicare AdvantageInsurer rates	$1,265 – $1,3917 plans	—
Cash pricePaying yourself, without insurance	$658	—
List priceBefore any discount; few people pay it	$1,645	—

Lowest and highest amounts MultiCare Good Samaritan Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

What MultiCare Good Samaritan Hospital publishes for this code: during a hospital stay

MultiCare Good Samaritan Hospital’s prices for HCPCS L3674, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$971 – $1,2013 plans	—
Cash pricePaying yourself, without insurance	$658	—
List priceBefore any discount; few people pay it	$1,645	—

Lowest and highest amounts MultiCare Good Samaritan Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L3674 at MultiCare Good Samaritan Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L3674 at every Washington hospital, with Medicare’s reference amounts.