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
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 | $614 – $676 | $320 | $799 |
| Deaconess Medical Center | $614 – $676 | $320 | $799 |
| Harborview Medical Center | $627 – $690 | $756 – $768 | $1,079 – $1,097 |
| Kadlec Regional Medical Center | $627 – $752 | — | — |
| Mary Bridge Children's Hospital | $614 – $676 | $320 | $799 |
| MultiCare Auburn Medical Center | $614 – $676 | $320 | $799 |
| MultiCare Covington Medical Center | $614 – $676 | $320 | $799 |
| MultiCare Good Samaritan Hospital | $614 – $676 | $320 | $799 |
| MultiCare Valley Hospital | $633 – $676 | $320 | $799 |
| Overlake Hospital Medical Center & Clinics | $627 – $652 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $627 – $752 | — | — |
| Providence Centralia Hospital | $627 – $1,003 | — | — |
| Providence Regional Medical Center Everett | $627 – $690 | — | — |
| Providence St Peter Hospital | $627 – $1,003 | — | — |
| Seattle Children's Hospital | — | $1,766 | $1,766 |
| Swedish Edmonds Hospital | $627 – $752 | — | — |
| Swedish Issaquah | $627 – $752 | — | — |
| Swedish Medical Center | $627 – $752 | — | — |
| Swedish Medical Center / Cherry Hill | $627 – $752 | — | — |
| Tacoma General Allenmore Hospital | $614 – $676 | $320 | $799 |
| University of Washington Medical Ctr | $627 – $690 | $969 | $1,385 |
| Virginia Mason Medical Center | $430 – $645 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $614 – $688 | — | — |
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)