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HCPCS L5647

Addition to lower extremity, below knee suction socket

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$496$1,241
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$496$1,241
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,180 – $1,193$1,686 – $1,704
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$496$1,241
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$496$1,241
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$496$1,241
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$496$1,241
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$496$1,241
Seattle Children's HospitalSeattle$1,1191 plan$2,728$2,728
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$496$1,241
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,506$2,151

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)