HCPCS L5992
All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only
Current code10 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 | $210 – $230 | — | — |
| Deaconess Medical Center | $210 – $230 | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | $210 – $249 | — | — |
| MultiCare Covington Medical Center | $210 – $249 | — | — |
| MultiCare Good Samaritan Hospital | $210 – $249 | — | — |
| MultiCare Valley Hospital | $210 – $230 | — | — |
| Tacoma General Allenmore Hospital | $210 – $249 | — | — |
| Wellfound Behavioral Health Hospital | $321 | — | — |
| Yakima Valley Memorial | $199 – $213 | — | — |
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
- $127 (fee)