HCPCS L5637
Addition to lower extremity, below knee, total contact
Current codeBelow Knee Orthotic25 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 | $314 – $2,437 | $186 | $465 |
| Deaconess Medical Center | $173 – $1,517 | $186 | $465 |
| EvergreenHealth Medical Center | $349 – $1,334 | $892 | $1,115 |
| Harborview Medical Center | $583 – $729 | $441 – $446 | $631 – $638 |
| Kadlec Regional Medical Center | $550 – $1,024 | — | — |
| Mary Bridge Children's Hospital | $300 – $2,675 | $186 | $465 |
| MultiCare Auburn Medical Center | $305 – $1,575 | $186 | $465 |
| MultiCare Covington Medical Center | $305 – $1,575 | $186 | $465 |
| MultiCare Good Samaritan Hospital | $305 – $1,575 | $186 | $465 |
| MultiCare Valley Hospital | $173 – $1,513 | $186 | $465 |
| Overlake Hospital Medical Center & Clinics | $334 – $1,003 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $565 – $1,209 | — | — |
| Providence Centralia Hospital | $616 – $1,363 | — | — |
| Providence Regional Medical Center Everett | $437 – $846 | — | — |
| Providence St Peter Hospital | $310 – $1,190 | — | — |
| Seattle Children's Hospital | $596 – $1,060 | $1,104 | $1,104 |
| Swedish Edmonds Hospital | $547 – $1,337 | — | — |
| Swedish Issaquah | $547 – $809 | $483 | $1,007 |
| Swedish Medical Center | $547 – $1,302 | $483 | $1,007 |
| Swedish Medical Center / Cherry Hill | $547 – $1,302 | $483 | $1,007 |
| Tacoma General Allenmore Hospital | $305 – $1,575 | $186 | $465 |
| University of Washington Medical Ctr | $583 – $1,143 | $691 | $986 |
| Virginia Mason Medical Center | $349 – $1,268 | — | — |
| Wellfound Behavioral Health Hospital | $920 | — | — |
| Yakima Valley Memorial | $314 – $946 | — | — |
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
- $364 (fee)