HCPCS L4392
Replacement, soft interface material, static afo
Current code30 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 | $23.91 – $186 | $14.00 | $35.00 |
| Deaconess Medical Center | $13.00 – $116 | $14.00 | $35.00 |
| Harborview Medical Center | $44.40 – $55.50 | $33.99 | $48.56 |
| Highline Medical Center | $26.57 – $107 | $30.24 | $99.02 |
| Kadlec Regional Medical Center | $41.85 – $77.95 | — | — |
| Mary Bridge Children's Hospital | $22.61 – $204 | $14.00 | $35.00 |
| MultiCare Auburn Medical Center | $23.25 – $120 | $14.00 | $35.00 |
| MultiCare Covington Medical Center | $23.25 – $120 | $14.00 | $35.00 |
| MultiCare Good Samaritan Hospital | $23.25 – $120 | $14.00 | $35.00 |
| MultiCare Valley Hospital | $13.00 – $115 | $14.00 | $35.00 |
| Overlake Hospital Medical Center & Clinics | $25.45 – $76.35 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $42.98 – $92.06 | — | — |
| Providence Centralia Hospital | $46.90 – $104 | — | — |
| Providence Regional Medical Center Everett | $33.30 – $64.38 | — | — |
| Providence St Peter Hospital | $23.59 – $90.60 | — | — |
| St Anthony Hospital | $26.57 – $135 | $30.12 | $99.02 |
| St Clare Hospital | $26.57 – $135 | $28.55 | $99.02 |
| St Elizabeth Hospital | $26.57 – $135 | $35.00 | $99.02 |
| St Francis Community Hospital | $26.57 – $135 | $31.08 | $99.02 |
| St Joseph Medical Center | $26.57 – $135 | $32.80 | $99.02 |
| St Michael Medical Center | $26.57 – $122 | $43.71 | $99.02 |
| Swedish Edmonds Hospital | $41.62 – $102 | — | — |
| Swedish Issaquah | $41.62 – $61.60 | — | — |
| Swedish Medical Center | $41.62 – $99.12 | — | — |
| Swedish Medical Center / Cherry Hill | $41.62 – $99.12 | — | — |
| Tacoma General Allenmore Hospital | $23.25 – $120 | $14.00 | $35.00 |
| University of Washington Medical Ctr | $44.40 – $87.03 | $43.14 | $61.63 |
| Virginia Mason Medical Center | $26.57 – $96.52 | — | — |
| Wellfound Behavioral Health Hospital | $70.03 | — | — |
| Yakima Valley Memorial | $17.15 – $72.00 | $14.00 | $35.00 |
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
- $27.75 (fee)