HCPCS L5930
Addition, endoskeletal system, high activity knee control frame
Current codeBelow Knee Orthotic24 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 | $3,964 – $4,361 | — | — |
| Deaconess Medical Center | $3,964 – $4,361 | — | — |
| Harborview Medical Center | $4,045 – $4,450 | $4,956 | $7,079 |
| Kadlec Regional Medical Center | $4,045 – $4,854 | — | — |
| Mary Bridge Children's Hospital | $3,964 – $4,361 | — | — |
| MultiCare Auburn Medical Center | $3,964 – $4,361 | — | — |
| MultiCare Covington Medical Center | $3,964 – $4,361 | — | — |
| MultiCare Good Samaritan Hospital | $3,964 – $4,361 | — | — |
| MultiCare Valley Hospital | $4,083 – $4,361 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,045 – $4,207 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,045 – $4,854 | — | — |
| Providence Centralia Hospital | $4,045 – $6,473 | — | — |
| Providence Regional Medical Center Everett | $4,045 – $4,450 | — | — |
| Providence St Peter Hospital | $4,045 – $6,473 | — | — |
| Seattle Children's Hospital | — | $4,202 | $4,202 |
| Swedish Edmonds Hospital | $4,045 – $4,854 | — | — |
| Swedish Issaquah | $4,045 – $4,854 | — | — |
| Swedish Medical Center | $4,045 – $4,854 | — | — |
| Swedish Medical Center / Cherry Hill | $4,045 – $4,854 | — | — |
| Tacoma General Allenmore Hospital | $3,964 – $4,361 | — | — |
| University of Washington Medical Ctr | $4,045 – $4,450 | $6,251 | $8,930 |
| Virginia Mason Medical Center | $2,776 – $4,164 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $3,964 – $4,440 | — | — |
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)