HCPCS L5301

Below knee, molded socket, shin, sach foot, endoskeletal system

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L5301 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1,708$4,269
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$1,708$4,269
Harborview Medical CenterSeattleFile dated 2026-04-01—$4,140 – $4,202$5,915 – $6,002
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1,708$4,269
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1,708$4,269
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$1,708$4,269
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1,708$4,269
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$1,708$4,269
Seattle Children's HospitalSeattle$3,449 – $4,36212 plans$13,419$13,419
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,550$9,479
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,550$9,479
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,550$9,479
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1,708$4,269
University of Washington Medical CtrSeattleFile dated 2026-04-01—$5,303$7,576

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$3,430 (fee)