HCPCS L5830
Addition, endoskeletal knee-shin system, single axis, pneumatic/ swing 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 | $2,597 – $20,155 | — | — |
| Deaconess Medical Center | $3,608 – $12,546 | — | — |
| Harborview Medical Center | $4,823 – $6,029 | $3,693 | $5,275 |
| Kadlec Regional Medical Center | $4,546 – $8,467 | — | — |
| Mary Bridge Children's Hospital | $2,597 – $22,123 | — | — |
| MultiCare Auburn Medical Center | $2,525 – $13,024 | — | — |
| MultiCare Covington Medical Center | $2,525 – $13,024 | — | — |
| MultiCare Good Samaritan Hospital | $2,930 – $13,024 | — | — |
| MultiCare Valley Hospital | $2,886 – $12,517 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,764 – $8,293 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,669 – $10,000 | — | — |
| Providence Centralia Hospital | $5,094 – $11,271 | — | — |
| Providence Regional Medical Center Everett | $3,617 – $6,993 | — | — |
| Providence St Peter Hospital | $2,562 – $9,842 | — | — |
| Seattle Children's Hospital | $4,556 – $8,099 | $8,436 | $8,436 |
| Swedish Edmonds Hospital | $4,522 – $11,058 | — | — |
| Swedish Issaquah | $4,522 – $6,692 | — | — |
| Swedish Medical Center | $4,522 – $10,767 | — | — |
| Swedish Medical Center / Cherry Hill | $4,522 – $10,767 | — | — |
| Tacoma General Allenmore Hospital | $2,525 – $13,024 | — | — |
| University of Washington Medical Ctr | $4,823 – $9,454 | — | — |
| Virginia Mason Medical Center | $2,886 – $10,484 | — | — |
| Wellfound Behavioral Health Hospital | $7,607 | — | — |
| Yakima Valley Memorial | $2,597 – $7,820 | — | — |
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
- $3,014 (fee)