HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L2622 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$359 – $3822 plans$180$449
Deaconess Medical CenterSpokaneFile dated 2026-08-27$319 – $3282 plans$180$449
Harborview Medical CenterSeattleFile dated 2026-04-01—$432$617
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$294 – $3596 plans$180$449
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$265 – $3283 plans$180$449
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$265 – $3283 plans$180$449
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$265 – $3283 plans$180$449
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3232 plans$180$449
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$265 – $3283 plans$180$449
University of Washington Medical CtrSeattleFile dated 2026-04-01—$545$779
Yakima Valley MemorialYakimaFile dated 2026-08-27$2511 plan$180$449

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$352 (fee)