HCPCS L5930
Addition, endoskeletal system, high activity knee control frame
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,486 – $27,048 | — | — |
| Deaconess Medical Center | $4,841 – $16,836 | — | — |
| Harborview Medical Center | $6,473 – $8,091 | $4,956 | $7,079 |
| Kadlec Regional Medical Center | $6,101 – $11,363 | — | — |
| Mary Bridge Children's Hospital | $3,486 – $29,690 | — | — |
| MultiCare Auburn Medical Center | $3,389 – $17,478 | — | — |
| MultiCare Covington Medical Center | $3,389 – $17,478 | — | — |
| MultiCare Good Samaritan Hospital | $3,932 – $17,478 | — | — |
| MultiCare Valley Hospital | $3,873 – $16,798 | — | — |
| Overlake Hospital Medical Center & Clinics | $3,710 – $11,130 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $6,266 – $13,420 | — | — |
| Providence Centralia Hospital | $6,837 – $15,125 | — | — |
| Providence Regional Medical Center Everett | $4,854 – $9,385 | — | — |
| Providence St Peter Hospital | $3,439 – $13,208 | — | — |
| Seattle Children's Hospital | $2,269 – $4,034 | $4,202 | $4,202 |
| Swedish Edmonds Hospital | $6,068 – $14,839 | — | — |
| Swedish Issaquah | $6,068 – $8,981 | — | — |
| Swedish Medical Center | $6,068 – $14,449 | — | — |
| Swedish Medical Center / Cherry Hill | $6,068 – $14,449 | — | — |
| Tacoma General Allenmore Hospital | $3,389 – $17,478 | — | — |
| University of Washington Medical Ctr | $6,473 – $12,687 | $6,251 | $8,930 |
| Virginia Mason Medical Center | $3,873 – $14,069 | — | — |
| Wellfound Behavioral Health Hospital | $10,208 | — | — |
| Yakima Valley Memorial | $3,486 – $10,494 | — | — |
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
- $4,045 (fee)