HCPCS L5992

All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only

Current code10 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5992 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$125 – $1376 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$125 – $1378 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$125 – $1377 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$125 – $1377 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$125 – $1377 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$125 – $1377 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$128 – $1377 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$125 – $1377 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$125 – $1408 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)