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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L5910 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$226$565
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$226$565
Harborview Medical CenterSeattleFile dated 2026-04-01—$537 – $543$767 – $776
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$226$565
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$226$565
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$226$565
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$226$565
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$226$565
Seattle Children's HospitalSeattle$323 – $40912 plans$1,258$1,258
Swedish IssaquahIssaquahFile dated 2026-04-01—$588$1,225
Swedish Medical CenterSeattleFile dated 2026-04-01—$588$1,225
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$588$1,225
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$226$565
University of Washington Medical CtrSeattleFile dated 2026-04-01—$760$1,085

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)