HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

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 L5857 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$8,821 – $68,45116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$12,252 – $42,6079 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$16,380 – $20,4752 plans$12,541$17,916
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$15,439 – $28,7575 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$8,821 – $75,1367 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$8,576 – $44,23117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$8,576 – $44,23117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$9,952 – $44,23112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$9,802 – $42,51210 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$9,389 – $28,16610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$15,856 – $33,9639 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$17,301 – $38,2785 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$12,285 – $23,7517 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$8,702 – $33,4268 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$15,356 – $37,5547 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$15,356 – $22,7277 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$15,356 – $36,5669 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$15,356 – $36,5669 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$8,576 – $44,23117 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$16,380 – $32,1065 plans——
Virginia Mason Medical CenterSeattle$9,802 – $35,6047 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$25,8341 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$8,821 – $26,55813 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
$10,238 (fee)