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 | $187 – $206 | $93.60 – $96.80 | $234 – $242 |
| Deaconess Medical Center | $166 – $177 | $93.60 – $96.80 | $234 – $242 |
| Highline Medical Center | $79.03 – $165 | $56.12 | $184 |
| Mary Bridge Children's Hospital | $153 – $194 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Auburn Medical Center | $138 – $177 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Covington Medical Center | $138 – $177 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Good Samaritan Hospital | $138 – $177 | $93.60 – $96.80 | $234 – $242 |
| MultiCare Valley Hospital | $168 – $174 | $93.60 – $96.80 | $234 – $242 |
| St Anthony Hospital | $101 – $138 | $55.90 | $184 |
| St Clare Hospital | $101 – $138 | $52.98 | $184 |
| St Elizabeth Hospital | $73.52 – $165 | $64.95 | $184 |
| St Francis Community Hospital | $101 – $138 | $57.68 | $184 |
| St Joseph Medical Center | $101 – $138 | $60.87 | $184 |
| St Michael Medical Center | $116 – $165 | $81.12 | $184 |
| Swedish Issaquah | — | $252 | $526 |
| Swedish Medical Center | — | $252 | $526 |
| Swedish Medical Center / Cherry Hill | — | $252 | $526 |
| Tacoma General Allenmore Hospital | $138 – $177 | $93.60 – $96.80 | $234 – $242 |
| Yakima Valley Memorial | $78.96 – $136 | $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)