HCPCS L4360

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

Current codeBelow Knee Orthotic39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L4360 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$237 – $2,83719 plans$130 – $216$324 – $541
Cascade Valley HospitalArlington$13.64 – $2,05511 plans$128 – $187$161 – $234
Deaconess Medical CenterSpokaneFile dated 2026-08-27$120 – $1,76616 plans$130 – $216$324 – $541
Harborview Medical CenterSeattleFile dated 2026-04-01$679 – $8482 plans$211 – $520$302 – $742
Highline Medical CenterBurienFile dated 2026-02-28$66.42 – $1,63611 plans$47.17 – $108$154 – $355
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$640 – $1,1925 plans$141 – $616$202 – $880
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$209 – $3,11418 plans$130 – $216$324 – $541
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$237 – $1,83320 plans$130 – $216$324 – $541
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$237 – $1,83320 plans$130 – $216$324 – $541
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$237 – $1,83320 plans$130 – $216$324 – $541
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$120 – $1,76216 plans$130 – $216$324 – $541
Olympic Medical CenterPort AngelesFile dated 2026-06-24$74.90 – $2,1616 plans$107 – $1,729$134 – $2,161
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$389 – $1,16710 plans——
PeaceHealth Southwest Medical CenteVancouver$170 – $1,3765 plans$490$754
PeaceHealth St John Medical CenterLongview$170 – $4134 plans$268$413
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$657 – $1,4079 plans$304 – $758$434 – $1,084
Providence Centralia HospitalCentraliaFile dated 2026-04-01$717 – $1,5865 plans$179 – $933$344 – $1,794
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$304 – $758$434 – $1,084
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$286 – $720$408 – $1,028
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$509 – $9847 plans$190 – $1,026$365 – $1,973
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$286 – $720$408 – $1,028
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$181 – $670$258 – $957
Providence St Peter HospitalOlympiaFile dated 2026-04-01$361 – $1,3858 plans$179 – $933$344 – $1,794
Skagit Valley HospitalMount Vernon$128 – $1,2609 plans$128 – $187$161 – $234
St Anthony HospitalGig HarborFile dated 2026-02-28$77.23 – $2,05611 plans$46.98 – $108$154 – $355
St Clare HospitalLakewoodFile dated 2026-02-28$77.23 – $2,05611 plans$44.53 – $102$154 – $355
St Elizabeth HospitalEnumclawFile dated 2026-02-28$51.44 – $2,05616 plans$54.59 – $125$154 – $355
St Francis Community HospitalFederal WayFile dated 2026-02-28$77.23 – $2,05611 plans$48.48 – $111$154 – $355
St Joseph Medical CenterTacomaFile dated 2026-02-28$77.23 – $2,05611 plans$51.16 – $117$154 – $355
St Michael Medical CenterSilverdaleFile dated 2026-02-28$98.86 – $1,86615 plans$68.18 – $156$154 – $355
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$636 – $1,5567 plans$68.04 – $628$142 – $1,308
Swedish IssaquahIssaquahFile dated 2026-04-01$636 – $9427 plans$68.04 – $628$142 – $1,308
Swedish Medical CenterSeattleFile dated 2026-04-01$636 – $1,5159 plans$68.04 – $628$142 – $1,308
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$636 – $1,5159 plans$68.04 – $628$142 – $1,308
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$237 – $1,83320 plans$130 – $216$324 – $541
University of Washington Medical CtrSeattleFile dated 2026-04-01$679 – $1,3305 plans$183 – $696$261 – $995
Virginia Mason Medical CenterSeattle$406 – $1,4757 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,0711 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$93.10 – $1,10119 plans$76.00 – $216$190 – $541

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
$424 (fee)