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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $546 – $601 | $284 | $710 |
| Deaconess Medical Center | $546 – $601 | $284 | $710 |
| Harborview Medical Center | $557 – $613 | $683 | $975 |
| Kadlec Regional Medical Center | $557 – $669 | — | — |
| Mary Bridge Children's Hospital | $546 – $601 | $284 | $710 |
| MultiCare Auburn Medical Center | $546 – $601 | $284 | $710 |
| MultiCare Covington Medical Center | $546 – $601 | $284 | $710 |
| MultiCare Good Samaritan Hospital | $546 – $601 | $284 | $710 |
| MultiCare Valley Hospital | $562 – $601 | $284 | $710 |
| Overlake Hospital Medical Center & Clinics | $557 – $579 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $557 – $669 | — | — |
| Providence Centralia Hospital | $557 – $891 | — | — |
| Providence Regional Medical Center Everett | $557 – $613 | — | — |
| Providence St Peter Hospital | $557 – $891 | — | — |
| Swedish Edmonds Hospital | $557 – $669 | — | — |
| Swedish Issaquah | $557 – $669 | — | — |
| Swedish Medical Center | $557 – $669 | — | — |
| Swedish Medical Center / Cherry Hill | $557 – $669 | — | — |
| Tacoma General Allenmore Hospital | $546 – $601 | $284 | $710 |
| University of Washington Medical Ctr | $557 – $613 | $862 | $1,232 |
| Virginia Mason Medical Center | $382 – $574 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $546 – $612 | — | — |
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)