HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (kemblo, pelite, aliplast, plastazote or equal)

Current codeKnee Orthosis24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L5656 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$522 – $4,04916 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$725 – $2,5209 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$969 – $1,2112 plans$730 – $742$1,043 – $1,060
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$913 – $1,7015 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$522 – $4,4447 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$507 – $2,61617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$507 – $2,61617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$589 – $2,61612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$580 – $2,51410 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$555 – $1,66610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$938 – $2,0099 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,023 – $2,2645 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$727 – $1,4057 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$515 – $1,9778 plans——
Seattle Children's HospitalSeattle$930 – $2,64698 plans$1,722 – $2,756$1,722 – $2,756
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$908 – $2,2217 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$908 – $1,3447 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$908 – $2,1639 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$908 – $2,1639 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$507 – $2,61617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$969 – $1,8995 plans$936$1,338
Virginia Mason Medical CenterSeattle$580 – $2,1067 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,5281 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$522 – $1,57113 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$606 (fee)