HCPCS L4386
Walking boot, non-pneumatic, 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 Orthotic37 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 | $186 – $205 | $74.40 – $240 | $186 – $599 |
| Cascade Valley Hospital | $196 – $3,581 | $105 – $247 | $132 – $309 |
| Deaconess Medical Center | $186 – $205 | $74.40 – $240 | $186 – $599 |
| Harborview Medical Center | $190 – $209 | $233 | $333 |
| Highline Medical Center | — | $48.84 | $160 |
| Kadlec Regional Medical Center | $190 – $228 | $69.91 | $99.87 |
| Mary Bridge Children's Hospital | $186 – $205 | $74.40 – $240 | $186 – $599 |
| MultiCare Auburn Medical Center | $186 – $205 | $74.40 – $240 | $186 – $599 |
| MultiCare Covington Medical Center | $186 – $205 | $74.40 – $240 | $186 – $599 |
| MultiCare Good Samaritan Hospital | $186 – $205 | $74.40 – $240 | $186 – $599 |
| MultiCare Valley Hospital | $192 – $205 | $74.40 – $240 | $186 – $599 |
| Overlake Hospital Medical Center & Clinics | $190 – $198 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $190 – $228 | $150 – $568 | $215 – $811 |
| Providence Centralia Hospital | $190 – $304 | $88.40 | $170 |
| Providence Holy Family Hospital | — | $150 | $215 |
| Providence Mount Carmel Hospital | — | $141 | $202 |
| Providence Regional Medical Center Everett | $190 – $209 | $93.92 | $181 |
| Providence St Joseph Hospital | — | $141 | $202 |
| Providence St Mary Medical Center | — | $89.25 | $128 |
| Providence St Peter Hospital | $190 – $304 | $88.40 | $170 |
| Seattle Children's Hospital | — | $132 | $132 |
| Skagit Valley Hospital | — | $105 – $247 | $132 – $309 |
| St Anthony Hospital | — | $48.65 | $160 |
| St Clare Hospital | — | $46.10 | $160 |
| St Elizabeth Hospital | $28.79 – $35.19 | $56.52 | $160 |
| St Francis Community Hospital | — | $50.19 | $160 |
| St Joseph Medical Center | — | $52.97 | $160 |
| St Michael Medical Center | — | $70.59 | $160 |
| Swedish Edmonds Hospital | $190 – $228 | $58.14 – $288 | $121 – $599 |
| Swedish Issaquah | $190 – $228 | $58.14 – $288 | $121 – $599 |
| Swedish Medical Center | $190 – $228 | $58.14 – $288 | $121 – $599 |
| Swedish Medical Center / Cherry Hill | $190 – $228 | $58.14 – $288 | $121 – $599 |
| Tacoma General Allenmore Hospital | $186 – $205 | $74.40 – $240 | $186 – $599 |
| University of Washington Medical Ctr | $190 – $209 | $328 | $468 |
| Virginia Mason Medical Center | $131 – $196 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $186 – $209 | $43.60 – $155 | $109 – $388 |
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
- $190 (fee)