HCPCS L5450
Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee
Current codeBelow Knee Orthotic35 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 | — | $269 – $1,000 | $672 – $2,500 |
| Deaconess Medical Center | — | $269 – $1,000 | $672 – $2,500 |
| Harborview Medical Center | — | $652 – $662 | $932 – $945 |
| Highline Medical Center | — | $1,035 | $3,390 |
| Kadlec Regional Medical Center | — | $1,065 | $1,521 |
| Mary Bridge Children's Hospital | — | $269 – $1,000 | $672 – $2,500 |
| MultiCare Auburn Medical Center | — | $269 – $1,000 | $672 – $2,500 |
| MultiCare Covington Medical Center | — | $269 – $1,000 | $672 – $2,500 |
| MultiCare Good Samaritan Hospital | — | $269 – $1,000 | $672 – $2,500 |
| MultiCare Valley Hospital | — | $269 – $1,000 | $672 – $2,500 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,071 | $1,530 |
| Providence Centralia Hospital | — | $1,648 | $3,169 |
| Providence Holy Family Hospital | — | $1,071 | $1,530 |
| Providence Mount Carmel Hospital | — | $1,020 | $1,457 |
| Providence Regional Medical Center Everett | — | $1,798 | $3,457 |
| Providence St Joseph Hospital | — | $1,020 | $1,457 |
| Providence St Mary Medical Center | — | $1,112 | $1,589 |
| Providence St Peter Hospital | — | $1,648 | $3,169 |
| Seattle Children's Hospital | — | $1,795 | $1,795 |
| St Anthony Hospital | — | $1,031 | $3,390 |
| St Clare Hospital | — | $977 | $3,390 |
| St Elizabeth Hospital | — | $1,198 | $3,390 |
| St Francis Community Hospital | — | $1,064 | $3,390 |
| St Joseph Medical Center | — | $1,123 | $3,390 |
| St Michael Medical Center | — | $1,496 | $3,390 |
| Swedish Edmonds Hospital | — | $1,090 | $2,271 |
| Swedish Issaquah | — | $717 – $1,090 | $1,493 – $2,271 |
| Swedish Medical Center | — | $717 – $1,090 | $1,493 – $2,271 |
| Swedish Medical Center / Cherry Hill | — | $717 – $1,090 | $1,493 – $2,271 |
| Tacoma General Allenmore Hospital | — | $269 – $1,000 | $672 – $2,500 |
| University of Washington Medical Ctr | — | $925 – $966 | $1,321 – $1,380 |
| Yakima Valley Memorial | — | $702 | $1,755 |
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)