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
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 | $3,361 – $3,697 | $1,708 | $4,269 |
| Deaconess Medical Center | $3,361 – $3,697 | $1,708 | $4,269 |
| Harborview Medical Center | $3,430 – $3,773 | $4,140 – $4,202 | $5,915 – $6,002 |
| Kadlec Regional Medical Center | $3,430 – $4,116 | — | — |
| Mary Bridge Children's Hospital | $3,361 – $3,697 | $1,708 | $4,269 |
| MultiCare Auburn Medical Center | $3,361 – $3,697 | $1,708 | $4,269 |
| MultiCare Covington Medical Center | $3,361 – $3,697 | $1,708 | $4,269 |
| MultiCare Good Samaritan Hospital | $3,361 – $3,697 | $1,708 | $4,269 |
| MultiCare Valley Hospital | $3,462 – $3,697 | $1,708 | $4,269 |
| Overlake Hospital Medical Center & Clinics | $3,430 – $3,567 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,430 – $4,116 | — | — |
| Providence Centralia Hospital | $3,430 – $5,488 | — | — |
| Providence Regional Medical Center Everett | $3,430 – $3,773 | — | — |
| Providence St Peter Hospital | $3,430 – $5,488 | — | — |
| Seattle Children's Hospital | — | $13,419 | $13,419 |
| Swedish Edmonds Hospital | $3,430 – $4,116 | — | — |
| Swedish Issaquah | $3,430 – $4,116 | $4,550 | $9,479 |
| Swedish Medical Center | $3,430 – $4,116 | $4,550 | $9,479 |
| Swedish Medical Center / Cherry Hill | $3,430 – $4,116 | $4,550 | $9,479 |
| Tacoma General Allenmore Hospital | $3,361 – $3,697 | $1,708 | $4,269 |
| University of Washington Medical Ctr | $3,430 – $3,773 | $5,303 | $7,576 |
| Virginia Mason Medical Center | $2,354 – $3,531 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,361 – $3,765 | — | — |
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)