HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5812 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$757 – $8336 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$757 – $8338 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$773 – $8505 plans$936 – $947$1,336 – $1,352
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$773 – $9277 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$757 – $8337 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$757 – $8337 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$757 – $8337 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$757 – $8337 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$780 – $8337 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$773 – $8043 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$773 – $9277 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$773 – $1,2367 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$773 – $8506 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$773 – $1,2367 plans——
Seattle Children's HospitalSeattle—$2,175$2,175
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$773 – $9278 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$773 – $9278 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$773 – $9278 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$773 – $9278 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$757 – $8337 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$773 – $8505 plans$1,194$1,705
Virginia Mason Medical CenterSeattle$530 – $7959 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$757 – $8488 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
$773 (fee)