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
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 | $194 – $213 | $421 | $1,052 |
| Deaconess Medical Center | $194 – $213 | $421 | $1,052 |
| Harborview Medical Center | $198 – $218 | $171 – $173 | $244 – $247 |
| Highline Medical Center | — | $65.83 | $216 |
| Kadlec Regional Medical Center | $198 – $237 | — | — |
| Mary Bridge Children's Hospital | $194 – $213 | $421 | $1,052 |
| MultiCare Auburn Medical Center | $194 – $213 | $421 | $1,052 |
| MultiCare Covington Medical Center | $194 – $213 | $421 | $1,052 |
| MultiCare Good Samaritan Hospital | $194 – $213 | $421 | $1,052 |
| MultiCare Valley Hospital | $200 – $213 | $421 | $1,052 |
| Overlake Hospital Medical Center & Clinics | $198 – $206 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $198 – $237 | — | — |
| Providence Centralia Hospital | $198 – $317 | — | — |
| Providence Regional Medical Center Everett | $198 – $218 | — | — |
| Providence St Peter Hospital | $198 – $317 | — | — |
| Seattle Children's Hospital | — | $348 | $348 |
| St Anthony Hospital | — | $65.57 | $216 |
| St Clare Hospital | — | $62.14 | $216 |
| St Elizabeth Hospital | $38.81 – $47.43 | $76.18 | $216 |
| St Francis Community Hospital | — | $67.66 | $216 |
| St Joseph Medical Center | — | $71.40 | $216 |
| St Michael Medical Center | — | $95.15 | $216 |
| Swedish Edmonds Hospital | $198 – $237 | — | — |
| Swedish Issaquah | $198 – $237 | $263 – $350 | $547 – $729 |
| Swedish Medical Center | $198 – $237 | $263 – $350 | $547 – $729 |
| Swedish Medical Center / Cherry Hill | $198 – $237 | $263 – $350 | $547 – $729 |
| Tacoma General Allenmore Hospital | $194 – $213 | $421 | $1,052 |
| University of Washington Medical Ctr | $198 – $218 | $169 | $241 |
| Virginia Mason Medical Center | $136 – $204 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $194 – $217 | $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)