HCPCS L5962

Addition, endoskeletal system, below knee, flexible protective outer surface covering system

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 L5962 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$827 – $6,41519 plans$489$1,223
Deaconess Medical CenterSpokaneFile dated 2026-08-27$454 – $3,99316 plans$489$1,223
Harborview Medical CenterSeattleFile dated 2026-04-01$1,535 – $1,9192 plans$1,164 – $1,175$1,662 – $1,679
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,447 – $2,6955 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$790 – $7,04218 plans$489$1,223
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$804 – $4,14520 plans$489$1,223
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$804 – $4,14520 plans$489$1,223
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$804 – $4,14520 plans$489$1,223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$454 – $3,98416 plans$489$1,223
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$880 – $2,64010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,486 – $3,1839 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,621 – $3,5875 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,151 – $2,2267 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$816 – $3,1338 plans——
Seattle Children's HospitalSeattle$1,456 – $2,58898 plans$2,696$2,696
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,439 – $3,5207 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,439 – $2,1307 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,439 – $3,4279 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,439 – $3,4279 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$804 – $4,14520 plans$489$1,223
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,535 – $3,0095 plans$1,483$2,119
Virginia Mason Medical CenterSeattle$919 – $3,3377 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,4211 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$827 – $2,48913 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
$959 (fee)