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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $416 – $457 | $111 – $875 | $277 – $2,187 |
| Deaconess Medical Center | $416 – $457 | $111 – $875 | $277 – $2,187 |
| Harborview Medical Center | $424 – $467 | $367 – $371 | $525 – $530 |
| Highline Medical Center | — | $53.65 | $176 |
| Kadlec Regional Medical Center | $424 – $509 | $72.35 – $200 | $103 – $285 |
| Mary Bridge Children's Hospital | $416 – $457 | $111 – $875 | $277 – $2,187 |
| MultiCare Auburn Medical Center | $416 – $457 | $111 – $875 | $277 – $2,187 |
| MultiCare Covington Medical Center | $416 – $457 | $111 – $875 | $277 – $2,187 |
| MultiCare Good Samaritan Hospital | $416 – $457 | $111 – $875 | $277 – $2,187 |
| MultiCare Valley Hospital | $428 – $457 | $111 – $875 | $277 – $2,187 |
| Overlake Hospital Medical Center & Clinics | $424 – $441 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $424 – $509 | $146 – $312 | $209 – $446 |
| Providence Centralia Hospital | $424 – $679 | $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 | $424 – $467 | $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 | $424 – $679 | $91.48 – $297 | $176 – $572 |
| Seattle Children's Hospital | — | $108 | $108 |
| St Anthony Hospital | — | $53.44 | $176 |
| St Clare Hospital | — | $50.65 | $176 |
| St Elizabeth Hospital | $31.63 – $38.66 | $62.09 | $176 |
| St Francis Community Hospital | — | $55.14 | $176 |
| St Joseph Medical Center | — | $58.19 | $176 |
| St Michael Medical Center | — | $77.55 | $176 |
| Swedish Edmonds Hospital | $424 – $509 | $59.26 – $204 | $123 – $424 |
| Swedish Issaquah | $424 – $509 | $59.26 – $563 | $123 – $1,172 |
| Swedish Medical Center | $424 – $509 | $59.26 – $563 | $123 – $1,172 |
| Swedish Medical Center / Cherry Hill | $424 – $509 | $59.26 – $563 | $123 – $1,172 |
| Tacoma General Allenmore Hospital | $416 – $457 | $111 – $875 | $277 – $2,187 |
| University of Washington Medical Ctr | $424 – $467 | — | — |
| Virginia Mason Medical Center | $291 – $437 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $416 – $466 | $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)