HCPCS L5629
Addition to lower extremity, below knee, acrylic socket
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $335 – $2,601 | $198 | $496 |
| Deaconess Medical Center | $184 – $1,619 | $198 | $496 |
| Harborview Medical Center | $623 – $778 | $471 – $477 | $672 – $681 |
| Kadlec Regional Medical Center | $587 – $1,093 | — | — |
| Mary Bridge Children's Hospital | $320 – $2,855 | $198 | $496 |
| MultiCare Auburn Medical Center | $326 – $1,681 | $198 | $496 |
| MultiCare Covington Medical Center | $326 – $1,681 | $198 | $496 |
| MultiCare Good Samaritan Hospital | $326 – $1,681 | $198 | $496 |
| MultiCare Valley Hospital | $184 – $1,616 | $198 | $496 |
| Overlake Hospital Medical Center & Clinics | $357 – $1,070 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $603 – $1,291 | — | — |
| Providence Centralia Hospital | $658 – $1,455 | — | — |
| Providence Regional Medical Center Everett | $467 – $903 | — | — |
| Providence St Peter Hospital | $331 – $1,270 | — | — |
| Seattle Children's Hospital | $622 – $1,106 | $1,152 | $1,152 |
| Swedish Edmonds Hospital | $584 – $1,427 | — | — |
| Swedish Issaquah | $584 – $864 | $493 | $1,028 |
| Swedish Medical Center | $584 – $1,390 | $493 | $1,028 |
| Swedish Medical Center / Cherry Hill | $584 – $1,390 | $493 | $1,028 |
| Tacoma General Allenmore Hospital | $326 – $1,681 | $198 | $496 |
| University of Washington Medical Ctr | $623 – $1,220 | $601 | $858 |
| Virginia Mason Medical Center | $372 – $1,353 | — | — |
| Wellfound Behavioral Health Hospital | $982 | — | — |
| Yakima Valley Memorial | $335 – $1,009 | — | — |
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
- $389 (fee)