HCPCS L3675
Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf
Current code23 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 | $165 – $1,281 | $97.60 | $244 |
| Deaconess Medical Center | $90.65 – $797 | $97.60 | $244 |
| Harborview Medical Center | $307 – $383 | $168 | $239 |
| Kadlec Regional Medical Center | $289 – $538 | — | — |
| Mary Bridge Children's Hospital | $158 – $1,406 | $97.60 | $244 |
| MultiCare Auburn Medical Center | $160 – $828 | $97.60 | $244 |
| MultiCare Covington Medical Center | $160 – $828 | $97.60 | $244 |
| MultiCare Good Samaritan Hospital | $160 – $828 | $97.60 | $244 |
| MultiCare Valley Hospital | $90.65 – $796 | $97.60 | $244 |
| Overlake Hospital Medical Center & Clinics | $176 – $527 | $7.62 – $45.66 | $15.23 – $91.32 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $297 – $636 | — | — |
| Providence Centralia Hospital | $324 – $716 | — | — |
| Providence Regional Medical Center Everett | $230 – $444 | — | — |
| Providence St Peter Hospital | $163 – $626 | — | — |
| Swedish Edmonds Hospital | $287 – $703 | — | — |
| Swedish Issaquah | $287 – $425 | — | — |
| Swedish Medical Center | $287 – $684 | — | — |
| Swedish Medical Center / Cherry Hill | $287 – $684 | — | — |
| Tacoma General Allenmore Hospital | $160 – $828 | $97.60 | $244 |
| University of Washington Medical Ctr | $307 – $601 | — | — |
| Virginia Mason Medical Center | $183 – $666 | — | — |
| Wellfound Behavioral Health Hospital | $483 | — | — |
| Yakima Valley Memorial | $120 – $497 | $97.60 | $244 |
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
- $192 (fee)