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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5910 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$435 – $4786 plans$226$565
Deaconess Medical CenterSpokaneFile dated 2026-08-27$435 – $4788 plans$226$565
Harborview Medical CenterSeattleFile dated 2026-04-01$443 – $4885 plans$537 – $543$767 – $776
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$443 – $5327 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$435 – $4787 plans$226$565
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$435 – $4787 plans$226$565
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$435 – $4787 plans$226$565
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$435 – $4787 plans$226$565
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$448 – $4787 plans$226$565
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$443 – $4613 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$443 – $5327 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$443 – $7097 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$443 – $4886 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$443 – $7097 plans——
Seattle Children's HospitalSeattle—$1,258$1,258
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$443 – $5328 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$443 – $5328 plans$588$1,225
Swedish Medical CenterSeattleFile dated 2026-04-01$443 – $5328 plans$588$1,225
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$443 – $5328 plans$588$1,225
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$435 – $4787 plans$226$565
University of Washington Medical CtrSeattleFile dated 2026-04-01$443 – $4885 plans$760$1,085
Virginia Mason Medical CenterSeattle$304 – $4569 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$435 – $4878 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)