HCPCS L5940

Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)

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 L5940 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$658 – $5,10519 plans$389$973
Deaconess Medical CenterSpokaneFile dated 2026-08-27$361 – $3,17816 plans$389$973
Harborview Medical CenterSeattleFile dated 2026-04-01$1,222 – $1,5272 plans$924 – $935$1,320 – $1,336
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,151 – $2,1455 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$628 – $5,60418 plans$389$973
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$640 – $3,29920 plans$389$973
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$640 – $3,29920 plans$389$973
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$640 – $3,29920 plans$389$973
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$361 – $3,17016 plans$389$973
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$700 – $2,10110 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,183 – $2,5339 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,290 – $2,8555 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$916 – $1,7717 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$649 – $2,4938 plans——
Seattle Children's HospitalSeattle$1,159 – $2,06198 plans$2,147$2,147
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,145 – $2,8017 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,145 – $1,6957 plans$1,013$2,110
Swedish Medical CenterSeattleFile dated 2026-04-01$1,145 – $2,7279 plans$1,013$2,110
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,145 – $2,7279 plans$1,013$2,110
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$640 – $3,29920 plans$389$973
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,222 – $2,3945 plans$1,182$1,689
Virginia Mason Medical CenterSeattle$731 – $2,6557 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,9271 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$658 – $1,98113 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
$764 (fee)