go back

Prosthetic Knee, Polycentric, Mechanical Stance Lock

Oregon rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Rates data updated July 2026.

How much does Prosthetic Knee, Polycentric, Mechanical Stance Lock cost?

$813

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,000 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$617 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,000$813 to $1,023

How much rates vary

Facilitymedian $1,000 · 10th to 90th $776 to $1,318Professionalmedian $759 · 10th to 90th $457 to $1,148
$100$200$500$1K$2K$5Kfacility $1,000professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$2,238.72
Typical High
$2,754.23
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,096.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,148.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,318.26
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$891.25
Typical High
$1,071.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$3,981.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$676.08
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$977.24

Where Oregon sits

The same service costs 4.5 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Oregon· 11th of 51

$813

HI $2,042DE $457

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.