HCPCS L5540
Preparatory, below knee 'ptb' type socket, non-alignable system, pylon, no cover, sach foot, laminated socket, molded to model
Current codeBelow Knee Orthotic24 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 | $2,655 – $2,920 | — | — |
| Deaconess Medical Center | $2,655 – $2,920 | — | — |
| Harborview Medical Center | $2,709 – $2,980 | $3,318 | $4,740 |
| Kadlec Regional Medical Center | $2,709 – $3,250 | — | — |
| Mary Bridge Children's Hospital | $2,655 – $2,920 | — | — |
| MultiCare Auburn Medical Center | $2,655 – $2,920 | — | — |
| MultiCare Covington Medical Center | $2,655 – $2,920 | — | — |
| MultiCare Good Samaritan Hospital | $2,655 – $2,920 | — | — |
| MultiCare Valley Hospital | $2,734 – $2,920 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,709 – $2,817 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,709 – $3,250 | — | — |
| Providence Centralia Hospital | $2,709 – $4,334 | — | — |
| Providence Regional Medical Center Everett | $2,709 – $2,980 | — | — |
| Providence St Peter Hospital | $2,709 – $4,334 | — | — |
| Seattle Children's Hospital | — | $9,183 | $9,183 |
| Swedish Edmonds Hospital | $2,709 – $3,250 | — | — |
| Swedish Issaquah | $2,709 – $3,250 | — | — |
| Swedish Medical Center | $2,709 – $3,250 | — | — |
| Swedish Medical Center / Cherry Hill | $2,709 – $3,250 | — | — |
| Tacoma General Allenmore Hospital | $2,655 – $2,920 | — | — |
| University of Washington Medical Ctr | $2,709 – $2,980 | $4,188 | $5,983 |
| Virginia Mason Medical Center | $1,859 – $2,788 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,655 – $2,973 | — | — |
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
- $2,709 (fee)