HCPCS L5910

Addition, endoskeletal system, below knee, alignable system

Current codeBelow Knee Orthotic24 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 L5910 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$382 – $2,96519 plans$226$565
Deaconess Medical CenterSpokaneFile dated 2026-08-27$210 – $1,84516 plans$226$565
Harborview Medical CenterSeattleFile dated 2026-04-01$709 – $8872 plans$537 – $543$767 – $776
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$669 – $1,2455 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$365 – $3,25418 plans$226$565
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$371 – $1,91620 plans$226$565
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$371 – $1,91620 plans$226$565
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$371 – $1,91620 plans$226$565
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$210 – $1,84116 plans$226$565
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$407 – $1,22010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$687 – $1,4719 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$749 – $1,6585 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$532 – $1,0297 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$377 – $1,4488 plans——
Seattle Children's HospitalSeattle$679 – $1,20898 plans$1,258$1,258
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$665 – $1,6267 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$665 – $9847 plans$588$1,225
Swedish Medical CenterSeattleFile dated 2026-04-01$665 – $1,5849 plans$588$1,225
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$665 – $1,5849 plans$588$1,225
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$371 – $1,91620 plans$226$565
University of Washington Medical CtrSeattleFile dated 2026-04-01$709 – $1,3915 plans$760$1,085
Virginia Mason Medical CenterSeattle$425 – $1,5427 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,1191 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$382 – $1,15013 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
$443 (fee)