HCPCS L5665
Addition to lower extremity, socket insert, multi-durometer, below knee
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 | $540 – $4,191 | $320 | $799 |
| Deaconess Medical Center | $297 – $2,609 | $320 | $799 |
| Harborview Medical Center | $1,003 – $1,254 | $756 – $768 | $1,079 – $1,097 |
| Kadlec Regional Medical Center | $945 – $1,761 | — | — |
| Mary Bridge Children's Hospital | $516 – $4,601 | $320 | $799 |
| MultiCare Auburn Medical Center | $525 – $2,708 | $320 | $799 |
| MultiCare Covington Medical Center | $525 – $2,708 | $320 | $799 |
| MultiCare Good Samaritan Hospital | $525 – $2,708 | $320 | $799 |
| MultiCare Valley Hospital | $297 – $2,603 | $320 | $799 |
| Overlake Hospital Medical Center & Clinics | $575 – $1,725 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $971 – $2,080 | — | — |
| Providence Centralia Hospital | $1,059 – $2,344 | — | — |
| Providence Regional Medical Center Everett | $752 – $1,454 | — | — |
| Providence St Peter Hospital | $533 – $2,047 | — | — |
| Seattle Children's Hospital | $953 – $1,695 | $1,766 | $1,766 |
| Swedish Edmonds Hospital | $940 – $2,299 | — | — |
| Swedish Issaquah | $940 – $1,392 | — | — |
| Swedish Medical Center | $940 – $2,239 | — | — |
| Swedish Medical Center / Cherry Hill | $940 – $2,239 | — | — |
| Tacoma General Allenmore Hospital | $525 – $2,708 | $320 | $799 |
| University of Washington Medical Ctr | $1,003 – $1,966 | $969 | $1,385 |
| Virginia Mason Medical Center | $600 – $2,180 | — | — |
| Wellfound Behavioral Health Hospital | $1,582 | — | — |
| Yakima Valley Memorial | $540 – $1,626 | — | — |
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
- $627 (fee)