HCPCS L5647
Addition to lower extremity, below knee suction 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 | $993 – $1,055 | $496 | $1,241 |
| Deaconess Medical Center | $881 – $906 | $496 | $1,241 |
| Harborview Medical Center | — | $1,180 – $1,193 | $1,686 – $1,704 |
| Mary Bridge Children's Hospital | $812 – $993 | $496 | $1,241 |
| MultiCare Auburn Medical Center | $732 – $906 | $496 | $1,241 |
| MultiCare Covington Medical Center | $732 – $906 | $496 | $1,241 |
| MultiCare Good Samaritan Hospital | $732 – $906 | $496 | $1,241 |
| MultiCare Valley Hospital | $894 | $496 | $1,241 |
| Seattle Children's Hospital | $1,473 – $2,619 | $2,728 | $2,728 |
| Tacoma General Allenmore Hospital | $732 – $906 | $496 | $1,241 |
| University of Washington Medical Ctr | — | $1,506 | $2,151 |
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
- $974 (fee)