HCPCS L5705

Custom shaped protective cover, above knee

Current code24 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 L5705 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,056 – $8,19516 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,467 – $5,1019 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,961 – $2,4512 plans$1,501$2,145
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,848 – $3,4435 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,056 – $8,9957 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,027 – $5,29517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,027 – $5,29517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,191 – $5,29512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,173 – $5,08910 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,124 – $3,37210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,898 – $4,0669 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,071 – $4,5835 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,471 – $2,8437 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,042 – $4,0028 plans——
Seattle Children's HospitalSeattle$1,746 – $3,29898 plans$3,233 – $3,435$3,233 – $3,435
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,838 – $4,4967 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,838 – $2,7217 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,838 – $4,3789 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,838 – $4,3789 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,027 – $5,29517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,961 – $3,8445 plans$1,896$2,709
Virginia Mason Medical CenterSeattle$1,173 – $4,2627 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,0931 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,056 – $3,17913 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
$1,226 (fee)