HCPCS L4205
Repair of orthotic device, labor component, per 15 minutes
Current code20 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 | $43.02 – $47.32 | — | — |
| Deaconess Medical Center | $43.02 – $47.32 | — | — |
| Harborview Medical Center | $43.90 – $48.29 | $46.07 – $46.14 | $65.81 – $65.91 |
| Kadlec Regional Medical Center | $43.90 – $52.68 | — | — |
| Mary Bridge Children's Hospital | $43.02 – $47.32 | — | — |
| MultiCare Auburn Medical Center | $43.02 – $47.32 | — | — |
| MultiCare Covington Medical Center | $43.02 – $47.32 | — | — |
| MultiCare Good Samaritan Hospital | $43.02 – $47.32 | — | — |
| MultiCare Valley Hospital | $44.31 – $47.32 | — | — |
| Overlake Hospital Medical Center & Clinics | $43.90 – $45.66 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $43.90 – $52.68 | — | — |
| Seattle Children's Hospital | — | $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 | $43.02 – $47.32 | — | — |
| University of Washington Medical Ctr | $43.90 – $48.29 | $66.65 – $69.05 | $95.21 – $98.64 |
| Virginia Mason Medical Center | $29.93 – $44.89 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $43.02 – $48.18 | — | — |
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)