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 | $839 – $6,511 | $496 | $1,241 |
| Deaconess Medical Center | $461 – $4,053 | $496 | $1,241 |
| Harborview Medical Center | $1,558 – $1,948 | $1,180 – $1,193 | $1,686 – $1,704 |
| Kadlec Regional Medical Center | $1,469 – $2,736 | — | — |
| Mary Bridge Children's Hospital | $802 – $7,147 | $496 | $1,241 |
| MultiCare Auburn Medical Center | $816 – $4,207 | $496 | $1,241 |
| MultiCare Covington Medical Center | $816 – $4,207 | $496 | $1,241 |
| MultiCare Good Samaritan Hospital | $816 – $4,207 | $496 | $1,241 |
| MultiCare Valley Hospital | $461 – $4,044 | $496 | $1,241 |
| Overlake Hospital Medical Center & Clinics | $893 – $2,679 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,508 – $3,231 | — | — |
| Providence Centralia Hospital | $1,646 – $3,641 | — | — |
| Providence Regional Medical Center Everett | $1,169 – $2,259 | — | — |
| Providence St Peter Hospital | $828 – $3,180 | — | — |
| Seattle Children's Hospital | $1,473 – $2,619 | $2,728 | $2,728 |
| Swedish Edmonds Hospital | $1,461 – $3,572 | — | — |
| Swedish Issaquah | $1,461 – $2,162 | — | — |
| Swedish Medical Center | $1,461 – $3,478 | — | — |
| Swedish Medical Center / Cherry Hill | $1,461 – $3,478 | — | — |
| Tacoma General Allenmore Hospital | $816 – $4,207 | $496 | $1,241 |
| University of Washington Medical Ctr | $1,558 – $3,054 | $1,506 | $2,151 |
| Virginia Mason Medical Center | $932 – $3,387 | — | — |
| Wellfound Behavioral Health Hospital | $2,457 | — | — |
| Yakima Valley Memorial | $839 – $2,526 | — | — |
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)