HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Current codeBelow Knee Orthotic23 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 L5816 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$897 – $6,96116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,246 – $4,3339 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,666 – $2,0822 plans$1,275$1,822
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,570 – $2,9255 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$897 – $7,6417 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$872 – $4,49817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$872 – $4,49817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,012 – $4,49812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$997 – $4,32310 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$955 – $2,86410 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,613 – $3,4549 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,760 – $3,8935 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,249 – $2,4157 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$885 – $3,3998 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,562 – $3,8197 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,562 – $2,3117 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,562 – $3,7199 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,562 – $3,7199 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$872 – $4,49817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,666 – $3,2655 plans$1,611$2,302
Virginia Mason Medical CenterSeattle$997 – $3,6217 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,6271 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$897 – $2,70113 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
$1,041 (fee)