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
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 | $8,473 – $9,320 | $4,408 | $11,019 |
| Deaconess Medical Center | $8,473 – $9,320 | $4,408 | $11,019 |
| Harborview Medical Center | $8,646 – $9,510 | $10,467 – $10,591 | $14,953 – $15,130 |
| Kadlec Regional Medical Center | $8,646 – $10,375 | — | — |
| Mary Bridge Children's Hospital | $8,473 – $9,320 | $4,408 | $11,019 |
| MultiCare Auburn Medical Center | $8,473 – $9,320 | $4,408 | $11,019 |
| MultiCare Covington Medical Center | $8,473 – $9,320 | $4,408 | $11,019 |
| MultiCare Good Samaritan Hospital | $8,473 – $9,320 | $4,408 | $11,019 |
| MultiCare Valley Hospital | $8,727 – $9,320 | $4,408 | $11,019 |
| Overlake Hospital Medical Center & Clinics | $8,646 – $8,992 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $8,646 – $10,375 | — | — |
| Providence Centralia Hospital | $8,646 – $13,833 | — | — |
| Providence Regional Medical Center Everett | $8,646 – $9,510 | — | — |
| Providence St Peter Hospital | $8,646 – $13,833 | — | — |
| Seattle Children's Hospital | — | $11,472 | $11,472 |
| Swedish Edmonds Hospital | $8,646 – $10,375 | — | — |
| Swedish Issaquah | $8,646 – $10,375 | — | — |
| Swedish Medical Center | $8,646 – $10,375 | — | — |
| Swedish Medical Center / Cherry Hill | $8,646 – $10,375 | — | — |
| Tacoma General Allenmore Hospital | $8,473 – $9,320 | $4,408 | $11,019 |
| University of Washington Medical Ctr | $8,646 – $9,510 | $13,361 | $19,087 |
| Virginia Mason Medical Center | $5,933 – $8,900 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $8,473 – $9,490 | — | — |
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)