Addition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679) cost in Ohio
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Cash from
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Cash range · 0 distinct prices
$522
Insurer rates from
17
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| LUTHERAN HOSPITAL | Cleveland | — | $522 | Jun 2026123 days old |
| Fairview Hospital | Cleveland | — | $549 | Jun 2026123 days old |
| The Cleveland Clinic Foundation | Brunswick | — | $670 | Jun 2026122 days old |
| Metrohealth System | Cleveland | — | $882 | Apr 2026198 days old |
| Bethesda Hospital Inc. | Lebanon | — | $1,620 | Apr 2026198 days old |
| Greene Memorial Hospital Inc | Xenia | — | $1,620 | Apr 2026198 days old |
| Kettering Medical Center 2 locations · one published price | Dayton, Miamisburg | — | $1,620 | Apr 2026198 days old |
| McCullough-Hyde Memorial Hospital, Inc. | Oxford | — | $1,620 | Apr 2026198 days old |
| Beavercreek Medical Center | Dayton | — | $1,620 | Apr 2026198 days old |
| Berger Hospital | Circleville | — | $1,620 | Apr 2026198 days old |
| Fort Hamilton Hospital | Hamilton | — | $1,620 | Apr 2026198 days old |
| Dayton Osteopathic Hospital | Dayton | — | $1,620 | Apr 2026198 days old |
| Clinton Memorial Hospital | Wilmington | — | $1,620 | Apr 2026198 days old |
| The Good Samaritan Hospital of Cincinnati, OH | Cincinnati | — | $1,620 | Apr 2026198 days old |
| Riverside Methodist Hospital | Columbus | — | $1,620 | Apr 2026198 days old |
| Marion General Hospital | Marion | — | $1,620 | Apr 2026198 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterInitial custom socket insert
- Berger HospitalInitial custom socket insert
- Bethesda Hospital Inc.Initial custom socket insert
- Clinton Memorial HospitalInitial custom socket insert
- Dayton Osteopathic HospitalInitial custom socket insert
- Fairview HospitalInitial custom socket insert
- Fort Hamilton HospitalInitial custom socket insert
- Greene Memorial Hospital IncInitial custom socket insert
- HEART HOSP OF AUSTINAddition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKAddition to lower extremity, below knee/above knee, custom fabricated socket insert for other than congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.