HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L2375 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$127 – $1406 plans$64.80$162
Deaconess Medical CenterSpokaneFile dated 2026-08-27$127 – $1408 plans$64.80$162
Harborview Medical CenterSeattleFile dated 2026-04-01$130 – $1435 plans$159$227
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$130 – $1567 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$127 – $1407 plans$64.80$162
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$127 – $1407 plans$64.80$162
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$127 – $1407 plans$64.80$162
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$127 – $1407 plans$64.80$162
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$131 – $1407 plans$64.80$162
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$130 – $1353 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$130 – $1567 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$130 – $2087 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$130 – $1436 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$130 – $2087 plans——
Seattle Children's HospitalSeattle—$357$357
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$130 – $1568 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$130 – $1568 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$130 – $1568 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$130 – $1568 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$127 – $1407 plans$64.80$162
University of Washington Medical CtrSeattleFile dated 2026-04-01$130 – $1435 plans$203$290
Virginia Mason Medical CenterSeattle$89.10 – $1349 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$127 – $1438 plans$66.00$165

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$130 (fee)