HCPCS L5971

All lower extremity prosthesis, solid ankle cushion heel (sach) foot, replacement only

Current codeBelow Knee Orthotic23 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 L5971 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$259 – $2,00819 plans$153$383
Deaconess Medical CenterSpokaneFile dated 2026-08-27$142 – $1,25016 plans$153$383
Harborview Medical CenterSeattleFile dated 2026-04-01$480 – $6012 plans$368$526
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$453 – $8445 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$247 – $2,20418 plans$153$383
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$252 – $1,29720 plans$153$383
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$252 – $1,29720 plans$153$383
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$252 – $1,29720 plans$153$383
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$142 – $1,24716 plans$153$383
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$275 – $82610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$465 – $9969 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$508 – $1,1235 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$360 – $6977 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$255 – $9808 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$450 – $1,1027 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$450 – $6677 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$450 – $1,0739 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$450 – $1,0739 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$252 – $1,29720 plans$153$383
University of Washington Medical CtrSeattleFile dated 2026-04-01$480 – $9425 plans——
Virginia Mason Medical CenterSeattle$288 – $1,0447 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$7581 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$259 – $77913 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
$300 (fee)