HCPCS L4397
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
Current codeBelow Knee Orthotic31 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 | $171 – $1,323 | $421 | $1,052 |
| Deaconess Medical Center | $189 – $824 | $421 | $1,052 |
| Harborview Medical Center | $317 – $396 | $171 – $173 | $244 – $247 |
| Highline Medical Center | $92.70 – $763 | $65.83 | $216 |
| Kadlec Regional Medical Center | $298 – $556 | — | — |
| Mary Bridge Children's Hospital | $166 – $1,452 | $421 | $1,052 |
| MultiCare Auburn Medical Center | $166 – $855 | $421 | $1,052 |
| MultiCare Covington Medical Center | $166 – $855 | $421 | $1,052 |
| MultiCare Good Samaritan Hospital | $166 – $855 | $421 | $1,052 |
| MultiCare Valley Hospital | $189 – $822 | $421 | $1,052 |
| Overlake Hospital Medical Center & Clinics | $182 – $544 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $307 – $657 | — | — |
| Providence Centralia Hospital | $334 – $740 | — | — |
| Providence Regional Medical Center Everett | $237 – $459 | — | — |
| Providence St Peter Hospital | $168 – $646 | — | — |
| Seattle Children's Hospital | $188 – $334 | $348 | $348 |
| St Anthony Hospital | $108 – $959 | $65.57 | $216 |
| St Clare Hospital | $108 – $959 | $62.14 | $216 |
| St Elizabeth Hospital | $71.79 – $959 | $76.18 | $216 |
| St Francis Community Hospital | $108 – $959 | $67.66 | $216 |
| St Joseph Medical Center | $108 – $959 | $71.40 | $216 |
| St Michael Medical Center | $138 – $870 | $95.15 | $216 |
| Swedish Edmonds Hospital | $297 – $726 | — | — |
| Swedish Issaquah | $297 – $439 | $263 – $350 | $547 – $729 |
| Swedish Medical Center | $297 – $707 | $263 – $350 | $547 – $729 |
| Swedish Medical Center / Cherry Hill | $297 – $707 | $263 – $350 | $547 – $729 |
| Tacoma General Allenmore Hospital | $166 – $855 | $421 | $1,052 |
| University of Washington Medical Ctr | $317 – $621 | $169 | $241 |
| Virginia Mason Medical Center | $189 – $688 | — | — |
| Wellfound Behavioral Health Hospital | $499 | — | — |
| Yakima Valley Memorial | $171 – $606 | $283 | $707 |
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
- $198 (fee)