HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Current codeKnee Orthosis25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L2795 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$104 – $80916 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$145 – $5049 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$194 – $2422 plans$148$212
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$183 – $3405 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$37.70$58.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$104 – $8887 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$101 – $52317 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$101 – $52317 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$118 – $52312 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$116 – $50310 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$111 – $33310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$187 – $4029 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$205 – $4535 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$145 – $2817 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$103 – $3958 plans——
Seattle Children's HospitalSeattle$20.20 – $61698 plans$37.40 – $642$37.40 – $642
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$182 – $4447 plans$154$320
Swedish IssaquahIssaquahFile dated 2026-04-01$182 – $2697 plans$154$320
Swedish Medical CenterSeattleFile dated 2026-04-01$182 – $4329 plans$154$320
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$182 – $4329 plans$154$320
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$101 – $52317 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$194 – $3805 plans$188$269
Virginia Mason Medical CenterSeattle$116 – $4217 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3051 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$104 – $31413 plans——

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
$121 (fee)