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
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 | $4,731 – $5,204 | — | — |
| Deaconess Medical Center | $4,731 – $5,204 | — | — |
| Harborview Medical Center | $4,828 – $5,310 | $5,914 | $8,448 |
| Kadlec Regional Medical Center | $4,828 – $5,793 | — | — |
| Mary Bridge Children's Hospital | $4,731 – $5,204 | — | — |
| MultiCare Auburn Medical Center | $4,731 – $5,204 | — | — |
| MultiCare Covington Medical Center | $4,731 – $5,204 | — | — |
| MultiCare Good Samaritan Hospital | $4,731 – $5,204 | — | — |
| MultiCare Valley Hospital | $4,873 – $5,204 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,828 – $5,021 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,828 – $5,793 | — | — |
| Providence Centralia Hospital | $4,828 – $7,724 | — | — |
| Providence Regional Medical Center Everett | $4,828 – $5,310 | — | — |
| Providence St Peter Hospital | $4,828 – $7,724 | — | — |
| Seattle Children's Hospital | — | $14,439 | $14,439 |
| Swedish Edmonds Hospital | $4,828 – $5,793 | — | — |
| Swedish Issaquah | $4,828 – $5,793 | — | — |
| Swedish Medical Center | $4,828 – $5,793 | — | — |
| Swedish Medical Center / Cherry Hill | $4,828 – $5,793 | — | — |
| Tacoma General Allenmore Hospital | $4,731 – $5,204 | — | — |
| University of Washington Medical Ctr | $4,828 – $5,310 | $7,460 | $10,658 |
| Virginia Mason Medical Center | $3,313 – $4,970 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,731 – $5,299 | — | — |
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)