HCPCS L5520

Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed

Current codeBelow Knee Orthotic23 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.

Prices for HCPCS L5520 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,517 – $11,77116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,107 – $7,3279 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,817 – $3,5212 plans$2,157$3,081
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,655 – $4,9455 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,517 – $12,9217 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,475 – $7,60617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,475 – $7,60617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,711 – $7,60612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,686 – $7,31110 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,615 – $4,84410 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,727 – $5,8419 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,975 – $6,5835 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,113 – $4,0847 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,496 – $5,7488 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,641 – $6,4587 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,641 – $3,9087 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,641 – $6,2889 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,641 – $6,2889 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,475 – $7,60617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,817 – $5,5215 plans——
Virginia Mason Medical CenterSeattle$1,686 – $6,1237 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,4431 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,517 – $4,56713 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$1,761 (fee)