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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5962 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$940 – $1,0346 plans$489$1,223
Deaconess Medical CenterSpokaneFile dated 2026-08-27$940 – $1,0348 plans$489$1,223
Harborview Medical CenterSeattleFile dated 2026-04-01$959 – $1,0555 plans$1,164 – $1,175$1,662 – $1,679
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$959 – $1,1517 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$940 – $1,0347 plans$489$1,223
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$940 – $1,0347 plans$489$1,223
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$940 – $1,0347 plans$489$1,223
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$940 – $1,0347 plans$489$1,223
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$968 – $1,0347 plans$489$1,223
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$959 – $9983 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$959 – $1,1517 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$959 – $1,5357 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$959 – $1,0556 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$959 – $1,5357 plans——
Seattle Children's HospitalSeattle—$2,696$2,696
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$959 – $1,1518 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$959 – $1,1518 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$959 – $1,1518 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$959 – $1,1518 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$940 – $1,0347 plans$489$1,223
University of Washington Medical CtrSeattleFile dated 2026-04-01$959 – $1,0555 plans$1,483$2,119
Virginia Mason Medical CenterSeattle$658 – $9889 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$940 – $1,0538 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)