HCPCS A5500
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
Current codeBelow Knee Orthotic12 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 | $78.09 – $530 | — | — |
| Deaconess Medical Center | $108 – $135 | — | — |
| Harborview Medical Center | — | $111 | $159 |
| Mary Bridge Children's Hospital | $78.09 – $191 | — | — |
| MultiCare Auburn Medical Center | $75.92 – $191 | — | — |
| MultiCare Covington Medical Center | $75.92 – $191 | — | — |
| MultiCare Good Samaritan Hospital | $103 – $191 | — | — |
| MultiCare Valley Hospital | $86.77 – $135 | — | — |
| Overlake Hospital Medical Center & Clinics | $178 – $224 | — | — |
| Tacoma General Allenmore Hospital | $75.92 – $191 | — | — |
| Virginia Mason Medical Center | $278 – $315 | — | — |
| Yakima Valley Memorial | $78.09 – $134 | — | — |
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
- $90.63 (fee)