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Every billing code / Equipment and supplies / Orthotic Devices

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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$111 – $875$277 – $2,187
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$111 – $875$277 – $2,187
Harborview Medical CenterSeattleFile dated 2026-04-01—$367 – $371$525 – $530
Highline Medical CenterBurienFile dated 2026-02-28—$53.65$176
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$72.35 – $200$103 – $285
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$111 – $875$277 – $2,187
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$111 – $875$277 – $2,187
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$111 – $875$277 – $2,187
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$111 – $875$277 – $2,187
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$111 – $875$277 – $2,187
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$146 – $312$209 – $446
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$91.48 – $297$176 – $572
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$155 – $312$222 – $446
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$146 – $294$209 – $420
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$97.19 – $329$187 – $632
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$146 – $294$209 – $420
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$92.36 – $231$132 – $330
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$91.48 – $297$176 – $572
Seattle Children's HospitalSeattle$27.63 – $34.9512 plans$108$108
St Anthony HospitalGig HarborFile dated 2026-02-28—$53.44$176
St Clare HospitalLakewoodFile dated 2026-02-28—$50.65$176
St Elizabeth HospitalEnumclawFile dated 2026-02-28$49.20 – $58.285 plans$62.09$176
St Francis Community HospitalFederal WayFile dated 2026-02-28—$55.14$176
St Joseph Medical CenterTacomaFile dated 2026-02-28—$58.19$176
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$77.55$176
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$59.26 – $204$123 – $424
Swedish IssaquahIssaquahFile dated 2026-04-01—$59.26 – $563$123 – $1,172
Swedish Medical CenterSeattleFile dated 2026-04-01—$59.26 – $563$123 – $1,172
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$59.26 – $563$123 – $1,172
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$111 – $875$277 – $2,187
Yakima Valley MemorialYakimaFile dated 2026-08-27—$67.60 – $606$169 – $1,516

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)