HCPCS L5987
All lower extremity prosthesis, shank foot system with vertical loading pylon
Current codeBelow Knee Orthotic24 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 | $7,450 – $57,808 | $4,408 | $11,019 |
| Deaconess Medical Center | $4,094 – $35,982 | $4,408 | $11,019 |
| Harborview Medical Center | $13,833 – $17,291 | $10,467 – $10,591 | $14,953 – $15,130 |
| Kadlec Regional Medical Center | $13,038 – $24,286 | — | — |
| Mary Bridge Children's Hospital | $7,117 – $63,453 | $4,408 | $11,019 |
| MultiCare Auburn Medical Center | $7,243 – $37,354 | $4,408 | $11,019 |
| MultiCare Covington Medical Center | $7,243 – $37,354 | $4,408 | $11,019 |
| MultiCare Good Samaritan Hospital | $7,243 – $37,354 | $4,408 | $11,019 |
| MultiCare Valley Hospital | $4,094 – $35,902 | $4,408 | $11,019 |
| Overlake Hospital Medical Center & Clinics | $7,929 – $23,786 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $13,391 – $28,682 | — | — |
| Providence Centralia Hospital | $14,611 – $32,326 | — | — |
| Providence Regional Medical Center Everett | $10,375 – $20,058 | — | — |
| Providence St Peter Hospital | $7,349 – $28,228 | — | — |
| Seattle Children's Hospital | $6,195 – $11,013 | $11,472 | $11,472 |
| Swedish Edmonds Hospital | $12,969 – $31,715 | — | — |
| Swedish Issaquah | $12,969 – $19,194 | — | — |
| Swedish Medical Center | $12,969 – $30,880 | — | — |
| Swedish Medical Center / Cherry Hill | $12,969 – $30,880 | — | — |
| Tacoma General Allenmore Hospital | $7,243 – $37,354 | $4,408 | $11,019 |
| University of Washington Medical Ctr | $13,833 – $27,114 | $13,361 | $19,087 |
| Virginia Mason Medical Center | $8,278 – $30,068 | — | — |
| Wellfound Behavioral Health Hospital | $21,818 | — | — |
| Yakima Valley Memorial | $7,450 – $22,428 | — | — |
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
- $8,646 (fee)