HCPCS L5828
Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,979 – $23,116 | — | — |
| Deaconess Medical Center | $4,137 – $14,388 | — | — |
| Harborview Medical Center | $5,532 – $6,914 | $4,169 – $4,235 | $5,956 – $6,050 |
| Kadlec Regional Medical Center | $5,214 – $9,711 | — | — |
| Mary Bridge Children's Hospital | $2,979 – $25,373 | — | — |
| MultiCare Auburn Medical Center | $2,896 – $14,937 | — | — |
| MultiCare Covington Medical Center | $2,896 – $14,937 | — | — |
| MultiCare Good Samaritan Hospital | $3,361 – $14,937 | — | — |
| MultiCare Valley Hospital | $3,310 – $14,356 | — | — |
| Overlake Hospital Medical Center & Clinics | $3,171 – $9,512 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,355 – $11,469 | — | — |
| Providence Centralia Hospital | $5,843 – $12,926 | — | — |
| Providence Regional Medical Center Everett | $4,149 – $8,021 | — | — |
| Providence St Peter Hospital | $2,939 – $11,288 | — | — |
| Seattle Children's Hospital | $5,223 – $9,285 | $9,672 | $9,672 |
| Swedish Edmonds Hospital | $5,186 – $12,682 | — | — |
| Swedish Issaquah | $5,186 – $7,675 | — | — |
| Swedish Medical Center | $5,186 – $12,348 | — | — |
| Swedish Medical Center / Cherry Hill | $5,186 – $12,348 | — | — |
| Tacoma General Allenmore Hospital | $2,896 – $14,937 | — | — |
| University of Washington Medical Ctr | $5,532 – $10,842 | $5,346 | $7,637 |
| Virginia Mason Medical Center | $3,310 – $12,023 | — | — |
| Wellfound Behavioral Health Hospital | $8,724 | — | — |
| Yakima Valley Memorial | $2,979 – $8,969 | — | — |
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
- $3,457 (fee)