HCPCS L4631 at Tacoma General Allenmore 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
What Tacoma General Allenmore Hospital publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $1,537 – $7,928 | — |
| Medicare Advantage | $1,798 – $1,978 | — |
| Cash price | $936 | — |
| List price | $2,339 | — |
What Tacoma General Allenmore Hospital publishes for this code: during a hospital stay
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $1,380 – $1,707 | — |
| Cash price | $936 | — |
| List price | $2,339 | — |
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.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The service | — | The price above |
Compare HCPCS L4631 at every Washington hospital, with Medicare’s reference amounts.