HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

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 L5811 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$769 – $5,97016 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,069 – $3,7169 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,429 – $1,7862 plans$1,068 – $1,094$1,526 – $1,563
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,347 – $2,5085 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$769 – $6,5537 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$748 – $3,85817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$748 – $3,85817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$868 – $3,85812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$855 – $3,70810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$819 – $2,45610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,383 – $2,9629 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,509 – $3,3385 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,071 – $2,0717 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$759 – $2,9158 plans——
Seattle Children's HospitalSeattle$1,354 – $2,40798 plans$2,507$2,507
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,339 – $3,2757 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,339 – $1,9827 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,339 – $3,1899 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,339 – $3,1899 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$748 – $3,85817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,429 – $2,8005 plans$1,381$1,973
Virginia Mason Medical CenterSeattle$855 – $3,1057 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,2531 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$769 – $2,31613 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
$893 (fee)