HCPCS L5962
Addition, endoskeletal system, below knee, flexible protective outer surface covering system
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 | $827 – $6,415 | $489 | $1,223 |
| Deaconess Medical Center | $454 – $3,993 | $489 | $1,223 |
| Harborview Medical Center | $1,535 – $1,919 | $1,164 – $1,175 | $1,662 – $1,679 |
| Kadlec Regional Medical Center | $1,447 – $2,695 | — | — |
| Mary Bridge Children's Hospital | $790 – $7,042 | $489 | $1,223 |
| MultiCare Auburn Medical Center | $804 – $4,145 | $489 | $1,223 |
| MultiCare Covington Medical Center | $804 – $4,145 | $489 | $1,223 |
| MultiCare Good Samaritan Hospital | $804 – $4,145 | $489 | $1,223 |
| MultiCare Valley Hospital | $454 – $3,984 | $489 | $1,223 |
| Overlake Hospital Medical Center & Clinics | $880 – $2,640 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,486 – $3,183 | — | — |
| Providence Centralia Hospital | $1,621 – $3,587 | — | — |
| Providence Regional Medical Center Everett | $1,151 – $2,226 | — | — |
| Providence St Peter Hospital | $816 – $3,133 | — | — |
| Seattle Children's Hospital | $1,456 – $2,588 | $2,696 | $2,696 |
| Swedish Edmonds Hospital | $1,439 – $3,520 | — | — |
| Swedish Issaquah | $1,439 – $2,130 | — | — |
| Swedish Medical Center | $1,439 – $3,427 | — | — |
| Swedish Medical Center / Cherry Hill | $1,439 – $3,427 | — | — |
| Tacoma General Allenmore Hospital | $804 – $4,145 | $489 | $1,223 |
| University of Washington Medical Ctr | $1,535 – $3,009 | $1,483 | $2,119 |
| Virginia Mason Medical Center | $919 – $3,337 | — | — |
| Wellfound Behavioral Health Hospital | $2,421 | — | — |
| Yakima Valley Memorial | $827 – $2,489 | — | — |
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
- $959 (fee)