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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS L5000 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$315$788
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$315$788
Harborview Medical CenterSeattleFile dated 2026-04-01—$749 – $758$1,069 – $1,082
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$315$788
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$315$788
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$315$788
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$315$788
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$315$788
Seattle Children's HospitalSeattle$4401 plan$1,745$1,745
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$315$788
University of Washington Medical CtrSeattleFile dated 2026-04-01—$957$1,367
Yakima Valley MemorialYakimaFile dated 2026-08-27—$315$788

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)