HCPCS L5050
Ankle, symes, molded socket, sach foot
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,234 – $3,558 | $1,682 | $4,206 |
| Deaconess Medical Center | $3,234 – $3,558 | $1,682 | $4,206 |
| Harborview Medical Center | $3,300 – $3,630 | $3,948 – $4,043 | $5,640 – $5,775 |
| Kadlec Regional Medical Center | $3,300 – $3,960 | — | — |
| Mary Bridge Children's Hospital | $3,234 – $3,558 | $1,682 | $4,206 |
| MultiCare Auburn Medical Center | $3,234 – $3,558 | $1,682 | $4,206 |
| MultiCare Covington Medical Center | $3,234 – $3,558 | $1,682 | $4,206 |
| MultiCare Good Samaritan Hospital | $3,234 – $3,558 | $1,682 | $4,206 |
| MultiCare Valley Hospital | $3,331 – $3,558 | $1,682 | $4,206 |
| Overlake Hospital Medical Center & Clinics | $3,300 – $3,432 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,300 – $3,960 | — | — |
| Providence Centralia Hospital | $3,300 – $5,280 | — | — |
| Providence Regional Medical Center Everett | $3,300 – $3,630 | — | — |
| Providence St Peter Hospital | $3,300 – $5,280 | — | — |
| Seattle Children's Hospital | — | $11,280 | $11,280 |
| Swedish Edmonds Hospital | $3,300 – $3,960 | — | — |
| Swedish Issaquah | $3,300 – $3,960 | — | — |
| Swedish Medical Center | $3,300 – $3,960 | — | — |
| Swedish Medical Center / Cherry Hill | $3,300 – $3,960 | — | — |
| Tacoma General Allenmore Hospital | $3,234 – $3,558 | $1,682 | $4,206 |
| University of Washington Medical Ctr | $3,300 – $3,630 | $5,654 | $8,077 |
| Virginia Mason Medical Center | $2,265 – $3,397 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,234 – $3,622 | $1,682 | $4,206 |
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
- $3,300 (fee)