HCPCS L5638
Addition to lower extremity, below knee, leather socket
Current codeBelow Knee Orthotic23 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 | $662 – $728 | — | — |
| Deaconess Medical Center | $662 – $728 | — | — |
| Harborview Medical Center | $675 – $743 | $827 | $1,182 |
| Kadlec Regional Medical Center | $675 – $810 | — | — |
| Mary Bridge Children's Hospital | $662 – $728 | — | — |
| MultiCare Auburn Medical Center | $662 – $728 | — | — |
| MultiCare Covington Medical Center | $662 – $728 | — | — |
| MultiCare Good Samaritan Hospital | $662 – $728 | — | — |
| MultiCare Valley Hospital | $682 – $728 | — | — |
| Overlake Hospital Medical Center & Clinics | $675 – $702 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $675 – $810 | — | — |
| Providence Centralia Hospital | $675 – $1,081 | — | — |
| Providence Regional Medical Center Everett | $675 – $743 | — | — |
| Providence St Peter Hospital | $675 – $1,081 | — | — |
| Swedish Edmonds Hospital | $675 – $810 | — | — |
| Swedish Issaquah | $675 – $810 | — | — |
| Swedish Medical Center | $675 – $810 | — | — |
| Swedish Medical Center / Cherry Hill | $675 – $810 | — | — |
| Tacoma General Allenmore Hospital | $662 – $728 | — | — |
| University of Washington Medical Ctr | $675 – $743 | $1,046 | $1,494 |
| Virginia Mason Medical Center | $464 – $695 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $662 – $741 | — | — |
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
- $675 (fee)