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HCPCS L5450

Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee

Current codeBelow Knee Orthotic35 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$538 – $2,1252 plans$269 – $1,000$672 – $2,500
Deaconess Medical CenterSpokaneFile dated 2026-08-27$477 – $1,8252 plans$269 – $1,000$672 – $2,500
Harborview Medical CenterSeattleFile dated 2026-04-01—$652 – $662$932 – $945
Highline Medical CenterBurienFile dated 2026-02-28$1,458 – $3,0515 plans$1,035$3,390
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,065$1,521
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$439 – $2,0006 plans$269 – $1,000$672 – $2,500
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$396 – $1,8253 plans$269 – $1,000$672 – $2,500
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$396 – $1,8253 plans$269 – $1,000$672 – $2,500
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$396 – $1,8253 plans$269 – $1,000$672 – $2,500
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$484 – $1,8002 plans$269 – $1,000$672 – $2,500
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,071$1,530
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,648$3,169
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,071$1,530
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,020$1,457
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,798$3,457
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,020$1,457
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,112$1,589
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,648$3,169
Seattle Children's HospitalSeattle$969 – $1,72398 plans$1,795$1,795
St Anthony HospitalGig HarborFile dated 2026-02-28$1,864 – $2,5423 plans$1,031$3,390
St Clare HospitalLakewoodFile dated 2026-02-28$1,864 – $2,5423 plans$977$3,390
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,356 – $3,0516 plans$1,198$3,390
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,864 – $2,5423 plans$1,064$3,390
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,864 – $2,5423 plans$1,123$3,390
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,136 – $3,05110 plans$1,496$3,390
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,090$2,271
Swedish IssaquahIssaquahFile dated 2026-04-01—$717 – $1,090$1,493 – $2,271
Swedish Medical CenterSeattleFile dated 2026-04-01—$717 – $1,090$1,493 – $2,271
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$717 – $1,090$1,493 – $2,271
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$396 – $1,8253 plans$269 – $1,000$672 – $2,500
University of Washington Medical CtrSeattleFile dated 2026-04-01—$925 – $966$1,321 – $1,380
Yakima Valley MemorialYakimaFile dated 2026-08-27$9831 plan$702$1,755

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
$540 (fee)