HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot

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 L5150 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4,301 – $33,37616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5,974 – $20,7759 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$7,987 – $9,9832 plans$6,115$8,735
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7,528 – $14,0225 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,301 – $36,6357 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4,182 – $21,56717 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4,182 – $21,56717 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,852 – $21,56712 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,779 – $20,72810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$4,578 – $13,73310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$7,731 – $16,5609 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$8,436 – $18,6645 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5,990 – $11,5817 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$4,243 – $16,2988 plans——
Seattle Children's HospitalSeattle$7,988 – $14,20198 plans$14,793$14,793
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$7,488 – $18,3117 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7,488 – $11,0827 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,488 – $17,8299 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7,488 – $17,8299 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4,182 – $21,56717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$7,987 – $15,6555 plans$7,716$11,023
Virginia Mason Medical CenterSeattle$4,779 – $17,3607 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$12,5971 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,301 – $12,94913 plans——

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
$4,992 (fee)