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$304 – $2,35619 plans$180$449
Deaconess Medical CenterSpokaneFile dated 2026-08-27$167 – $1,46716 plans$180$449
Harborview Medical CenterSeattleFile dated 2026-04-01$564 – $7052 plans$432$617
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$531 – $9905 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$290 – $2,58618 plans$180$449
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$295 – $1,52220 plans$180$449
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$295 – $1,52220 plans$180$449
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$295 – $1,52220 plans$180$449
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$167 – $1,46316 plans$180$449
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$323 – $97010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$546 – $1,1699 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$596 – $1,3185 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$423 – $8187 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$300 – $1,1518 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$529 – $1,2937 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$529 – $7827 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$529 – $1,2599 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$529 – $1,2599 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$295 – $1,52220 plans$180$449
University of Washington Medical CtrSeattleFile dated 2026-04-01$564 – $1,1055 plans$545$779
Virginia Mason Medical CenterSeattle$337 – $1,2267 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$8891 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$220 – $91419 plans$180$449

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
$352 (fee)