HCPCS L5200

Above knee, molded socket, single axis constant friction knee, shin, sach foot

Current code24 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 L5200 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4,297 – $33,34416 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5,968 – $20,7559 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$7,979 – $9,9742 plans$6,109$8,727
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$7,521 – $14,0085 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,297 – $36,6007 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4,178 – $21,54617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4,178 – $21,54617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,848 – $21,54612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,775 – $20,70810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$4,573 – $13,72010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$7,724 – $16,5449 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$8,428 – $18,6465 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5,984 – $11,5707 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$4,239 – $16,2828 plans——
Seattle Children's HospitalSeattle$7,997 – $14,21698 plans$14,809$14,809
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$7,480 – $18,2937 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7,480 – $11,0717 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,480 – $17,8129 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7,480 – $17,8129 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4,178 – $21,54617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$7,979 – $15,6395 plans$7,706$11,009
Virginia Mason Medical CenterSeattle$4,775 – $17,3437 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$12,5841 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,297 – $12,93713 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
$4,987 (fee)