HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Current codeBelow Knee Orthotic24 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 L5780 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,208 – $9,37216 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,677 – $5,8339 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,243 – $2,8032 plans$1,717$2,453
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,114 – $3,9375 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,208 – $10,2877 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,174 – $6,05617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,174 – $6,05617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,363 – $6,05612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,342 – $5,82010 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,285 – $3,85610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,171 – $4,6509 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,369 – $5,2415 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,682 – $3,2527 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,191 – $4,5768 plans——
Seattle Children's HospitalSeattle$2,123 – $3,77598 plans$3,932$3,932
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,102 – $5,1427 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,102 – $3,1127 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,102 – $5,0069 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,102 – $5,0069 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,174 – $6,05617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,243 – $4,3965 plans——
Virginia Mason Medical CenterSeattle$1,342 – $4,8757 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,5371 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,208 – $3,63613 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
$1,402 (fee)