HCPCS L4350
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf
Current codeBelow Knee Orthotic39 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 | $76.65 – $756 | $42.00 – $85.20 | $105 – $213 |
| Cascade Valley Hospital | $8.93 – $899 | $84.00 | $105 |
| Deaconess Medical Center | $39.01 – $471 | $42.00 – $85.20 | $105 – $213 |
| Harborview Medical Center | $181 – $226 | $98.97 | $141 |
| Highline Medical Center | $25.74 – $436 | $18.28 – $30.27 | $59.84 – $99.10 |
| Kadlec Regional Medical Center | $171 – $318 | $32.34 – $88.10 | $46.20 – $126 |
| Mary Bridge Children's Hospital | $67.82 – $830 | $42.00 – $85.20 | $105 – $213 |
| MultiCare Auburn Medical Center | $76.65 – $489 | $42.00 – $85.20 | $105 – $213 |
| MultiCare Covington Medical Center | $76.65 – $489 | $42.00 – $85.20 | $105 – $213 |
| MultiCare Good Samaritan Hospital | $76.65 – $489 | $42.00 – $85.20 | $105 – $213 |
| MultiCare Valley Hospital | $39.01 – $470 | $42.00 – $85.20 | $105 – $213 |
| Overlake Hospital Medical Center & Clinics | $104 – $311 | $47.60 – $65.76 | $95.19 – $132 |
| PeaceHealth Southwest Medical Cente | $45.24 – $367 | $131 | $201 |
| PeaceHealth St John Medical Center | $45.24 – $147 | $95.55 | $147 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $175 – $375 | $69.46 – $189 | $99.23 – $270 |
| Providence Centralia Hospital | $191 – $423 | $40.89 – $111 | $78.64 – $214 |
| Providence Holy Family Hospital | — | $69.46 – $189 | $99.23 – $270 |
| Providence Mount Carmel Hospital | — | $65.37 – $178 | $93.38 – $254 |
| Providence Regional Medical Center Everett | $136 – $262 | $43.45 – $118 | $83.55 – $228 |
| Providence St Joseph Hospital | — | $65.37 – $178 | $93.38 – $254 |
| Providence St Mary Medical Center | — | $41.29 – $112 | $58.98 – $161 |
| Providence St Peter Hospital | $96.14 – $369 | $40.89 – $111 | $78.64 – $214 |
| Seattle Children's Hospital | $24.46 – $44.93 | $45.30 – $46.80 | $45.30 – $46.80 |
| Skagit Valley Hospital | $83.58 – $336 | $84.00 | $105 |
| St Anthony Hospital | $29.92 – $548 | $18.21 – $30.15 | $59.84 – $99.10 |
| St Clare Hospital | $29.92 – $548 | $17.25 – $28.57 | $59.84 – $99.10 |
| St Elizabeth Hospital | $19.93 – $548 | $21.15 – $35.02 | $59.84 – $99.10 |
| St Francis Community Hospital | $29.92 – $548 | $18.78 – $31.10 | $59.84 – $99.10 |
| St Joseph Medical Center | $29.92 – $548 | $19.82 – $32.83 | $59.84 – $99.10 |
| St Michael Medical Center | $38.30 – $497 | $26.42 – $43.74 | $59.84 – $99.10 |
| Swedish Edmonds Hospital | $170 – $415 | $25.99 – $171 | $54.15 – $356 |
| Swedish Issaquah | $170 – $251 | $25.99 – $171 | $54.15 – $356 |
| Swedish Medical Center | $170 – $404 | $25.99 – $171 | $54.15 – $356 |
| Swedish Medical Center / Cherry Hill | $170 – $404 | $25.99 – $171 | $54.15 – $356 |
| Tacoma General Allenmore Hospital | $76.65 – $489 | $42.00 – $85.20 | $105 – $213 |
| University of Washington Medical Ctr | $181 – $355 | $189 | $270 |
| Virginia Mason Medical Center | $108 – $393 | — | — |
| Wellfound Behavioral Health Hospital | $285 | — | — |
| Yakima Valley Memorial | $31.85 – $293 | $26.00 – $57.60 | $65.00 – $144 |
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
- $113 (fee)