HCPCS L5975
All lower extremity prosthesis, combination single axis ankle and flexible keel foot
Current codeBelow Knee Orthotic23 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 | $480 – $3,725 | $284 | $710 |
| Deaconess Medical Center | $264 – $2,319 | $284 | $710 |
| Harborview Medical Center | $891 – $1,114 | $683 | $975 |
| Kadlec Regional Medical Center | $840 – $1,565 | — | — |
| Mary Bridge Children's Hospital | $459 – $4,089 | $284 | $710 |
| MultiCare Auburn Medical Center | $467 – $2,407 | $284 | $710 |
| MultiCare Covington Medical Center | $467 – $2,407 | $284 | $710 |
| MultiCare Good Samaritan Hospital | $467 – $2,407 | $284 | $710 |
| MultiCare Valley Hospital | $264 – $2,314 | $284 | $710 |
| Overlake Hospital Medical Center & Clinics | $511 – $1,533 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $863 – $1,848 | — | — |
| Providence Centralia Hospital | $942 – $2,083 | — | — |
| Providence Regional Medical Center Everett | $669 – $1,293 | — | — |
| Providence St Peter Hospital | $474 – $1,819 | — | — |
| Swedish Edmonds Hospital | $836 – $2,044 | — | — |
| Swedish Issaquah | $836 – $1,237 | — | — |
| Swedish Medical Center | $836 – $1,990 | — | — |
| Swedish Medical Center / Cherry Hill | $836 – $1,990 | — | — |
| Tacoma General Allenmore Hospital | $467 – $2,407 | $284 | $710 |
| University of Washington Medical Ctr | $891 – $1,747 | $862 | $1,232 |
| Virginia Mason Medical Center | $533 – $1,938 | — | — |
| Wellfound Behavioral Health Hospital | $1,406 | — | — |
| Yakima Valley Memorial | $480 – $1,445 | — | — |
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
- $557 (fee)