HCPCS L4360 at PeaceHealth St John Medical Center

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

PeaceHealth St John Medical Center, Longview

Description from CMS's HCPCS Level II code file.

What PeaceHealth St John Medical Center publishes for this code: as an outpatient

PeaceHealth St John Medical Center’s prices for HCPCS L4360, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$170 – $4134 plans	—
Medicare AdvantageInsurer rates	$331 – $46714 plans	—
Medicaid managed careInsurer rates	$331 – $4453 plans	—
UnknownInsurer rates	$4132 plans	—
Cash pricePaying yourself, without insurance	$268	—
List priceBefore any discount; few people pay it	$413	—

Lowest and highest amounts PeaceHealth St John Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L4360 at PeaceHealth St John Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L4360 at every Washington hospital, with Medicare’s reference amounts.