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
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 | $188 – $207 | $97.60 | $244 |
| Deaconess Medical Center | $188 – $207 | $97.60 | $244 |
| Harborview Medical Center | $192 – $211 | $168 | $239 |
| Kadlec Regional Medical Center | $192 – $230 | — | — |
| Mary Bridge Children's Hospital | $188 – $207 | $97.60 | $244 |
| MultiCare Auburn Medical Center | $188 – $207 | $97.60 | $244 |
| MultiCare Covington Medical Center | $188 – $207 | $97.60 | $244 |
| MultiCare Good Samaritan Hospital | $188 – $207 | $97.60 | $244 |
| MultiCare Valley Hospital | $193 – $207 | $97.60 | $244 |
| Overlake Hospital Medical Center & Clinics | $192 – $199 | $7.62 – $45.66 | $15.23 – $91.32 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $192 – $230 | — | — |
| Providence Centralia Hospital | $192 – $307 | — | — |
| Providence Regional Medical Center Everett | $192 – $211 | — | — |
| Providence St Peter Hospital | $192 – $307 | — | — |
| Swedish Edmonds Hospital | $192 – $230 | — | — |
| Swedish Issaquah | $192 – $230 | — | — |
| Swedish Medical Center | $192 – $230 | — | — |
| Swedish Medical Center / Cherry Hill | $192 – $230 | — | — |
| Tacoma General Allenmore Hospital | $188 – $207 | $97.60 | $244 |
| University of Washington Medical Ctr | $192 – $211 | — | — |
| Virginia Mason Medical Center | $131 – $197 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $188 – $210 | $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)