HCPCS L4361
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf
Current codeBelow Knee Orthotic35 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 | $202 – $2,837 | $111 – $875 | $277 – $2,187 |
| Deaconess Medical Center | $103 – $1,766 | $111 – $875 | $277 – $2,187 |
| Harborview Medical Center | $679 – $848 | $367 – $371 | $525 – $530 |
| Highline Medical Center | $75.55 – $1,636 | $53.65 | $176 |
| Kadlec Regional Medical Center | $640 – $1,192 | $72.35 – $200 | $103 – $285 |
| Mary Bridge Children's Hospital | $179 – $3,114 | $111 – $875 | $277 – $2,187 |
| MultiCare Auburn Medical Center | $202 – $1,833 | $111 – $875 | $277 – $2,187 |
| MultiCare Covington Medical Center | $202 – $1,833 | $111 – $875 | $277 – $2,187 |
| MultiCare Good Samaritan Hospital | $202 – $1,833 | $111 – $875 | $277 – $2,187 |
| MultiCare Valley Hospital | $103 – $1,762 | $111 – $875 | $277 – $2,187 |
| Overlake Hospital Medical Center & Clinics | $389 – $1,167 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $657 – $1,407 | $146 – $312 | $209 – $446 |
| Providence Centralia Hospital | $717 – $1,586 | $91.48 – $297 | $176 – $572 |
| Providence Holy Family Hospital | — | $155 – $312 | $222 – $446 |
| Providence Mount Carmel Hospital | — | $146 – $294 | $209 – $420 |
| Providence Regional Medical Center Everett | $509 – $984 | $97.19 – $329 | $187 – $632 |
| Providence St Joseph Hospital | — | $146 – $294 | $209 – $420 |
| Providence St Mary Medical Center | — | $92.36 – $231 | $132 – $330 |
| Providence St Peter Hospital | $361 – $1,385 | $91.48 – $297 | $176 – $572 |
| Seattle Children's Hospital | $58.05 – $103 | $108 | $108 |
| St Anthony Hospital | $87.85 – $2,056 | $53.44 | $176 |
| St Clare Hospital | $87.85 – $2,056 | $50.65 | $176 |
| St Elizabeth Hospital | $58.51 – $2,056 | $62.09 | $176 |
| St Francis Community Hospital | $87.85 – $2,056 | $55.14 | $176 |
| St Joseph Medical Center | $87.85 – $2,056 | $58.19 | $176 |
| St Michael Medical Center | $112 – $1,866 | $77.55 | $176 |
| Swedish Edmonds Hospital | $636 – $1,556 | $59.26 – $204 | $123 – $424 |
| Swedish Issaquah | $636 – $942 | $59.26 – $563 | $123 – $1,172 |
| Swedish Medical Center | $636 – $1,515 | $59.26 – $563 | $123 – $1,172 |
| Swedish Medical Center / Cherry Hill | $636 – $1,515 | $59.26 – $563 | $123 – $1,172 |
| Tacoma General Allenmore Hospital | $202 – $1,833 | $111 – $875 | $277 – $2,187 |
| University of Washington Medical Ctr | $679 – $1,330 | — | — |
| Virginia Mason Medical Center | $406 – $1,475 | — | — |
| Wellfound Behavioral Health Hospital | $1,071 | — | — |
| Yakima Valley Memorial | $82.81 – $1,299 | $67.60 – $606 | $169 – $1,516 |
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)