HCPCS L5530 at Seattle Children's Hospital

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

Seattle Children's Hospital, Seattle

Description from CMS's HCPCS Level II code file.

What Seattle Children's Hospital publishes for this code: as an outpatient

Seattle Children's Hospital’s prices for HCPCS L5530, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$3,711 – $6,59798 plans—
Medicaid managed careInsurer rates$1,766 – $2,23412 plans—
Medicaid (state program)Insurer rates$1,7321 plan—
Other government programInsurer rates$2,8171 plan—
UnknownInsurer rates$1,732 – $6,1855 plans—
Cash pricePaying yourself, without insurance$6,872—
List priceBefore any discount; few people pay it$6,872—

Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L5530 at Seattle Children's Hospital
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe service—The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L5530 at every Washington hospital, with Medicare’s reference amounts.