HCPCS L5647
Addition to lower extremity, below knee suction socket
Current codeBelow Knee Orthotic24 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 | $954 – $1,050 | $496 | $1,241 |
| Deaconess Medical Center | $954 – $1,050 | $496 | $1,241 |
| Harborview Medical Center | $974 – $1,071 | $1,180 – $1,193 | $1,686 – $1,704 |
| Kadlec Regional Medical Center | $974 – $1,169 | — | — |
| Mary Bridge Children's Hospital | $954 – $1,050 | $496 | $1,241 |
| MultiCare Auburn Medical Center | $954 – $1,050 | $496 | $1,241 |
| MultiCare Covington Medical Center | $954 – $1,050 | $496 | $1,241 |
| MultiCare Good Samaritan Hospital | $954 – $1,050 | $496 | $1,241 |
| MultiCare Valley Hospital | $983 – $1,050 | $496 | $1,241 |
| Overlake Hospital Medical Center & Clinics | $974 – $1,013 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $974 – $1,169 | — | — |
| Providence Centralia Hospital | $974 – $1,558 | — | — |
| Providence Regional Medical Center Everett | $974 – $1,071 | — | — |
| Providence St Peter Hospital | $974 – $1,558 | — | — |
| Seattle Children's Hospital | — | $2,728 | $2,728 |
| Swedish Edmonds Hospital | $974 – $1,169 | — | — |
| Swedish Issaquah | $974 – $1,169 | — | — |
| Swedish Medical Center | $974 – $1,169 | — | — |
| Swedish Medical Center / Cherry Hill | $974 – $1,169 | — | — |
| Tacoma General Allenmore Hospital | $954 – $1,050 | $496 | $1,241 |
| University of Washington Medical Ctr | $974 – $1,071 | $1,506 | $2,151 |
| Virginia Mason Medical Center | $668 – $1,002 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $954 – $1,069 | — | — |
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)