HCPCS L5653
Addition to lower extremity, knee disarticulation, expandable wall socket
Current codeKnee Orthosis24 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 | $858 – $944 | — | — |
| Deaconess Medical Center | $858 – $944 | — | — |
| Harborview Medical Center | $876 – $963 | $1,073 | $1,532 |
| Kadlec Regional Medical Center | $876 – $1,051 | — | — |
| Mary Bridge Children's Hospital | $858 – $944 | — | — |
| MultiCare Auburn Medical Center | $858 – $944 | — | — |
| MultiCare Covington Medical Center | $858 – $944 | — | — |
| MultiCare Good Samaritan Hospital | $858 – $944 | — | — |
| MultiCare Valley Hospital | $884 – $944 | — | — |
| Overlake Hospital Medical Center & Clinics | $876 – $911 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $876 – $1,051 | — | — |
| Providence Centralia Hospital | $876 – $1,401 | — | — |
| Providence Regional Medical Center Everett | $876 – $963 | — | — |
| Providence St Peter Hospital | $876 – $1,401 | — | — |
| Seattle Children's Hospital | — | $1,335 | $1,335 |
| Swedish Edmonds Hospital | $876 – $1,051 | — | — |
| Swedish Issaquah | $876 – $1,051 | — | — |
| Swedish Medical Center | $876 – $1,051 | — | — |
| Swedish Medical Center / Cherry Hill | $876 – $1,051 | — | — |
| Tacoma General Allenmore Hospital | $858 – $944 | — | — |
| University of Washington Medical Ctr | $876 – $963 | $1,354 | $1,934 |
| Virginia Mason Medical Center | $601 – $901 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $858 – $961 | — | — |
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
- $876 (fee)