HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Current codeBelow Knee Orthotic24 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 L5000 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$533 – $4,13619 plans$315$788
Deaconess Medical CenterSpokaneFile dated 2026-08-27$293 – $2,57416 plans$315$788
Harborview Medical CenterSeattleFile dated 2026-04-01$990 – $1,2372 plans$749 – $758$1,069 – $1,082
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$933 – $1,7385 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$509 – $4,54018 plans$315$788
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$518 – $2,67220 plans$315$788
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$518 – $2,67220 plans$315$788
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$518 – $2,67220 plans$315$788
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$293 – $2,56916 plans$315$788
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$567 – $1,70210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$958 – $2,0529 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,045 – $2,3135 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$742 – $1,4357 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$526 – $2,0208 plans——
Seattle Children's HospitalSeattle$942 – $1,67598 plans$1,745$1,745
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$928 – $2,2697 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$928 – $1,3737 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$928 – $2,2099 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$928 – $2,2099 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$518 – $2,67220 plans$315$788
University of Washington Medical CtrSeattleFile dated 2026-04-01$990 – $1,9405 plans$957$1,367
Virginia Mason Medical CenterSeattle$592 – $2,1517 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,5611 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$386 – $1,60519 plans$315$788

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
$619 (fee)