HCPCS L4387
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf
Current codeBelow Knee Orthotic30 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 | $164 – $1,271 | $93.60 – $96.80 | $234 – $242 |
| Deaconess Medical Center | $86.93 – $791 | $93.60 – $96.80 | $234 – $242 |
| Harborview Medical Center | $304 – $380 | — | — |
| Highline Medical Center | $79.03 – $734 | $56.12 | $184 |
| Kadlec Regional Medical Center | $287 – $534 | — | — |
| Mary Bridge Children's Hospital | $151 – $1,396 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Auburn Medical Center | $159 – $822 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Covington Medical Center | $159 – $822 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Good Samaritan Hospital | $159 – $822 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Valley Hospital | $86.93 – $790 | $93.60 – $96.80 | $234 – $242 |
| Overlake Hospital Medical Center & Clinics | $174 – $523 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $295 – $631 | — | — |
| Providence Centralia Hospital | $321 – $711 | — | — |
| Providence Regional Medical Center Everett | $228 – $441 | — | — |
| Providence St Peter Hospital | $162 – $621 | — | — |
| St Anthony Hospital | $91.89 – $922 | $55.90 | $184 |
| St Clare Hospital | $91.89 – $922 | $52.98 | $184 |
| St Elizabeth Hospital | $61.20 – $922 | $64.95 | $184 |
| St Francis Community Hospital | $91.89 – $922 | $57.68 | $184 |
| St Joseph Medical Center | $91.89 – $922 | $60.87 | $184 |
| St Michael Medical Center | $118 – $836 | $81.12 | $184 |
| Swedish Edmonds Hospital | $285 – $698 | — | — |
| Swedish Issaquah | $285 – $422 | $252 | $526 |
| Swedish Medical Center | $285 – $679 | $252 | $526 |
| Swedish Medical Center / Cherry Hill | $285 – $679 | $252 | $526 |
| Tacoma General Allenmore Hospital | $159 – $822 | $93.60 – $96.80 | $234 – $242 |
| University of Washington Medical Ctr | $304 – $596 | — | — |
| Virginia Mason Medical Center | $182 – $661 | — | — |
| Wellfound Behavioral Health Hospital | $480 | — | — |
| Yakima Valley Memorial | $69.09 – $493 | $56.40 – $96.80 | $141 – $242 |
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)