HCPCS L4030
Replace quadrilateral socket brim, custom fitted
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 | $654 – $5,077 | — | — |
| Deaconess Medical Center | $909 – $3,160 | — | — |
| Harborview Medical Center | $1,215 – $1,519 | $930 | $1,329 |
| Kadlec Regional Medical Center | $1,145 – $2,133 | — | — |
| Mary Bridge Children's Hospital | $654 – $5,573 | — | — |
| MultiCare Auburn Medical Center | $636 – $3,280 | — | — |
| MultiCare Covington Medical Center | $636 – $3,280 | — | — |
| MultiCare Good Samaritan Hospital | $738 – $3,280 | — | — |
| MultiCare Valley Hospital | $727 – $3,153 | — | — |
| Overlake Hospital Medical Center & Clinics | $696 – $2,089 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,176 – $2,519 | — | — |
| Providence Centralia Hospital | $1,283 – $2,839 | — | — |
| Providence Regional Medical Center Everett | $911 – $1,762 | — | — |
| Providence St Peter Hospital | $645 – $2,479 | — | — |
| Swedish Edmonds Hospital | $1,139 – $2,785 | — | — |
| Swedish Issaquah | $1,139 – $1,686 | — | — |
| Swedish Medical Center | $1,139 – $2,712 | — | — |
| Swedish Medical Center / Cherry Hill | $1,139 – $2,712 | — | — |
| Tacoma General Allenmore Hospital | $636 – $3,280 | — | — |
| University of Washington Medical Ctr | $1,215 – $2,381 | $1,172 | $1,675 |
| Virginia Mason Medical Center | $727 – $2,641 | — | — |
| Wellfound Behavioral Health Hospital | $1,916 | — | — |
| Yakima Valley Memorial | $654 – $1,970 | — | — |
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
- $759 (fee)