HCPCS L4205
Repair of orthotic device, labor component, per 15 minutes
Current code20 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 | $33.24 – $79.59 | — | — |
| Deaconess Medical Center | $51.88 – $79.59 | — | — |
| Harborview Medical Center | $70.24 – $87.80 | $46.07 – $46.14 | $65.81 – $65.91 |
| Kadlec Regional Medical Center | $74.19 – $123 | — | — |
| Mary Bridge Children's Hospital | $64.46 – $91.30 | — | — |
| MultiCare Auburn Medical Center | $31.31 – $91.30 | — | — |
| MultiCare Covington Medical Center | $31.31 – $91.30 | — | — |
| MultiCare Good Samaritan Hospital | $59.85 – $91.30 | — | — |
| MultiCare Valley Hospital | $51.53 – $79.59 | — | — |
| Overlake Hospital Medical Center & Clinics | $48.29 – $115 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $74.19 – $146 | — | — |
| Seattle Children's Hospital | $92.23 – $164 | $171 | $171 |
| Swedish Issaquah | — | $69.12 | $144 |
| Swedish Medical Center | — | $69.12 | $144 |
| Swedish Medical Center / Cherry Hill | — | $69.12 | $144 |
| Tacoma General Allenmore Hospital | $31.31 – $91.30 | — | — |
| University of Washington Medical Ctr | $70.24 – $138 | $66.65 – $69.05 | $95.21 – $98.64 |
| Virginia Mason Medical Center | $51.30 – $152 | — | — |
| Wellfound Behavioral Health Hospital | $111 | — | — |
| Yakima Valley Memorial | $37.22 – $73.57 | — | — |
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
- $43.90 (fee)