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
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $10,033 – $11,036 | — | — |
| Deaconess Medical Center | $10,033 – $11,036 | — | — |
| Harborview Medical Center | $10,238 – $11,261 | $12,541 | $17,916 |
| Kadlec Regional Medical Center | $10,238 – $12,285 | — | — |
| Mary Bridge Children's Hospital | $10,033 – $11,036 | — | — |
| MultiCare Auburn Medical Center | $10,033 – $11,036 | — | — |
| MultiCare Covington Medical Center | $10,033 – $11,036 | — | — |
| MultiCare Good Samaritan Hospital | $10,033 – $11,036 | — | — |
| MultiCare Valley Hospital | $10,334 – $11,036 | — | — |
| Overlake Hospital Medical Center & Clinics | $10,238 – $10,647 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $10,238 – $12,285 | — | — |
| Providence Centralia Hospital | $10,238 – $16,380 | — | — |
| Providence Regional Medical Center Everett | $10,238 – $11,261 | — | — |
| Providence St Peter Hospital | $10,238 – $16,380 | — | — |
| Swedish Edmonds Hospital | $10,238 – $12,285 | — | — |
| Swedish Issaquah | $10,238 – $12,285 | — | — |
| Swedish Medical Center | $10,238 – $12,285 | — | — |
| Swedish Medical Center / Cherry Hill | $10,238 – $12,285 | — | — |
| Tacoma General Allenmore Hospital | $10,033 – $11,036 | — | — |
| University of Washington Medical Ctr | $10,238 – $11,261 | — | — |
| Virginia Mason Medical Center | $7,026 – $10,539 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $10,033 – $11,237 | — | — |
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)