HCPCS L5105
Below knee, plastic socket, joints and thigh lacer, sach foot
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,160 – $32,279 | — | — |
| Deaconess Medical Center | $5,778 – $20,092 | — | — |
| Harborview Medical Center | $7,724 – $9,655 | $5,914 | $8,448 |
| Kadlec Regional Medical Center | $7,280 – $13,561 | — | — |
| Mary Bridge Children's Hospital | $4,160 – $35,431 | — | — |
| MultiCare Auburn Medical Center | $4,044 – $20,858 | — | — |
| MultiCare Covington Medical Center | $4,044 – $20,858 | — | — |
| MultiCare Good Samaritan Hospital | $4,693 – $20,858 | — | — |
| MultiCare Valley Hospital | $4,622 – $20,047 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,427 – $13,282 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $7,477 – $16,016 | — | — |
| Providence Centralia Hospital | $8,159 – $18,050 | — | — |
| Providence Regional Medical Center Everett | $5,793 – $11,200 | — | — |
| Providence St Peter Hospital | $4,103 – $15,762 | — | — |
| Seattle Children's Hospital | $7,797 – $13,862 | $14,439 | $14,439 |
| Swedish Edmonds Hospital | $7,241 – $17,709 | — | — |
| Swedish Issaquah | $7,241 – $10,717 | — | — |
| Swedish Medical Center | $7,241 – $17,243 | — | — |
| Swedish Medical Center / Cherry Hill | $7,241 – $17,243 | — | — |
| Tacoma General Allenmore Hospital | $4,044 – $20,858 | — | — |
| University of Washington Medical Ctr | $7,724 – $15,140 | $7,460 | $10,658 |
| Virginia Mason Medical Center | $4,622 – $16,789 | — | — |
| Wellfound Behavioral Health Hospital | $12,182 | — | — |
| Yakima Valley Memorial | $4,160 – $12,524 | — | — |
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
- $4,828 (fee)