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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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$111 – $1226 plans$42.00 – $85.20$105 – $213
Cascade Valley HospitalArlington$116 – $9033 plans$84.00$105
Deaconess Medical CenterSpokaneFile dated 2026-08-27$111 – $1228 plans$42.00 – $85.20$105 – $213
Harborview Medical CenterSeattleFile dated 2026-04-01$113 – $1245 plans$98.97$141
Highline Medical CenterBurienFile dated 2026-02-28—$18.28 – $30.27$59.84 – $99.10
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$113 – $1367 plans$32.34 – $88.10$46.20 – $126
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$111 – $1227 plans$42.00 – $85.20$105 – $213
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$111 – $1227 plans$42.00 – $85.20$105 – $213
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$111 – $1227 plans$42.00 – $85.20$105 – $213
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$111 – $1227 plans$42.00 – $85.20$105 – $213
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$114 – $1227 plans$42.00 – $85.20$105 – $213
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$113 – $1183 plans$47.60 – $65.76$95.19 – $132
PeaceHealth Southwest Medical CenteVancouver$113 – $13013 plans$131$201
PeaceHealth St John Medical CenterLongview$88.23 – $12414 plans$95.55$147
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$113 – $1367 plans$69.46 – $189$99.23 – $270
Providence Centralia HospitalCentraliaFile dated 2026-04-01$113 – $1817 plans$40.89 – $111$78.64 – $214
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$69.46 – $189$99.23 – $270
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$65.37 – $178$93.38 – $254
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$113 – $1246 plans$43.45 – $118$83.55 – $228
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$65.37 – $178$93.38 – $254
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$41.29 – $112$58.98 – $161
Providence St Peter HospitalOlympiaFile dated 2026-04-01$113 – $1817 plans$40.89 – $111$78.64 – $214
Seattle Children's HospitalSeattle—$45.30 – $46.80$45.30 – $46.80
Skagit Valley HospitalMount Vernon—$84.00$105
St Anthony HospitalGig HarborFile dated 2026-02-28—$18.21 – $30.15$59.84 – $99.10
St Clare HospitalLakewoodFile dated 2026-02-28—$17.25 – $28.57$59.84 – $99.10
St Elizabeth HospitalEnumclawFile dated 2026-02-28$10.78 – $21.8112 plans$21.15 – $35.02$59.84 – $99.10
St Francis Community HospitalFederal WayFile dated 2026-02-28—$18.78 – $31.10$59.84 – $99.10
St Joseph Medical CenterTacomaFile dated 2026-02-28—$19.82 – $32.83$59.84 – $99.10
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$26.42 – $43.74$59.84 – $99.10
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$113 – $1368 plans$25.99 – $171$54.15 – $356
Swedish IssaquahIssaquahFile dated 2026-04-01$113 – $1368 plans$25.99 – $171$54.15 – $356
Swedish Medical CenterSeattleFile dated 2026-04-01$113 – $1368 plans$25.99 – $171$54.15 – $356
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$113 – $1368 plans$25.99 – $171$54.15 – $356
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$111 – $1227 plans$42.00 – $85.20$105 – $213
University of Washington Medical CtrSeattleFile dated 2026-04-01$113 – $1245 plans$189$270
Virginia Mason Medical CenterSeattle$77.62 – $1169 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$111 – $1248 plans$26.00 – $57.60$65.00 – $144

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)