HCPCS L4631 at MultiCare Valley Hospital

Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated

MultiCare Valley Hospital, Spokane Valley

Description from CMS's HCPCS Level II code file.

What MultiCare Valley Hospital publishes for this code: as an outpatient

MultiCare Valley Hospital’s prices for HCPCS L4631, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$869 – $7,62016 plans—
Medicare AdvantageInsurer rates$1,852 – $1,9787 plans—
Cash pricePaying yourself, without insurance$936—
List priceBefore any discount; few people pay it$2,339—

Lowest and highest amounts MultiCare Valley Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

What MultiCare Valley Hospital publishes for this code: during a hospital stay

MultiCare Valley Hospital’s prices for HCPCS L4631, during a hospital stay
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,6842 plans—
Cash pricePaying yourself, without insurance$936—
List priceBefore any discount; few people pay it$2,339—

Lowest and highest amounts MultiCare Valley Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L4631 at MultiCare Valley Hospital
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe service—The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L4631 at every Washington hospital, with Medicare’s reference amounts.