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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5520 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,725 – $1,8986 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,725 – $1,8988 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,761 – $1,9375 plans$2,157$3,081
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,761 – $2,1137 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,725 – $1,8987 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,725 – $1,8987 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,725 – $1,8987 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,725 – $1,8987 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,777 – $1,8987 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,761 – $1,8313 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,761 – $2,1137 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,761 – $2,8177 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,761 – $1,9376 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,761 – $2,8177 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,761 – $2,1138 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,761 – $2,1138 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,761 – $2,1138 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,761 – $2,1138 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,725 – $1,8987 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,761 – $1,9375 plans——
Virginia Mason Medical CenterSeattle$1,208 – $1,8129 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,725 – $1,9328 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)