HCPCS L5301
Below knee, molded socket, shin, sach foot, endoskeletal system
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 | $2,955 – $22,933 | $1,708 | $4,269 |
| Deaconess Medical Center | $1,586 – $14,274 | $1,708 | $4,269 |
| Harborview Medical Center | $5,488 – $6,860 | $4,140 – $4,202 | $5,915 – $6,002 |
| Kadlec Regional Medical Center | $5,172 – $9,634 | — | — |
| Mary Bridge Children's Hospital | $2,757 – $25,172 | $1,708 | $4,269 |
| MultiCare Auburn Medical Center | $2,873 – $14,819 | $1,708 | $4,269 |
| MultiCare Covington Medical Center | $2,873 – $14,819 | $1,708 | $4,269 |
| MultiCare Good Samaritan Hospital | $2,873 – $14,819 | $1,708 | $4,269 |
| MultiCare Valley Hospital | $1,586 – $14,242 | $1,708 | $4,269 |
| Overlake Hospital Medical Center & Clinics | $3,145 – $9,436 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,312 – $11,378 | — | — |
| Providence Centralia Hospital | $5,796 – $12,824 | — | — |
| Providence Regional Medical Center Everett | $4,116 – $7,957 | — | — |
| Providence St Peter Hospital | $2,915 – $11,198 | — | — |
| Seattle Children's Hospital | $7,246 – $12,882 | $13,419 | $13,419 |
| Swedish Edmonds Hospital | $5,145 – $12,582 | — | — |
| Swedish Issaquah | $5,145 – $7,614 | $4,550 | $9,479 |
| Swedish Medical Center | $5,145 – $12,250 | $4,550 | $9,479 |
| Swedish Medical Center / Cherry Hill | $5,145 – $12,250 | $4,550 | $9,479 |
| Tacoma General Allenmore Hospital | $2,873 – $14,819 | $1,708 | $4,269 |
| University of Washington Medical Ctr | $5,488 – $10,756 | $5,303 | $7,576 |
| Virginia Mason Medical Center | $3,284 – $11,928 | — | — |
| Wellfound Behavioral Health Hospital | $8,655 | — | — |
| Yakima Valley Memorial | $2,955 – $8,898 | — | — |
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
- $3,430 (fee)