HCPCS L2624

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

Current code27 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 L2624 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$328 – $2,54419 plans$194$485
Deaconess Medical CenterSpokaneFile dated 2026-08-27$180 – $1,58416 plans$194$485
Harborview Medical CenterSeattleFile dated 2026-04-01$609 – $7612 plans$455 – $466$650 – $666
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$574 – $1,0695 plans$769$1,098
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$313 – $2,79318 plans$194$485
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$319 – $1,64420 plans$194$485
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$319 – $1,64420 plans$194$485
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$319 – $1,64420 plans$194$485
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$180 – $1,58016 plans$194$485
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$349 – $1,04710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$589 – $1,2629 plans$947$1,352
Providence Centralia HospitalCentraliaFile dated 2026-04-01$643 – $1,4235 plans$1,164$2,238
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$947$1,352
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$898$1,283
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$457 – $8837 plans$1,280$2,462
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$898$1,283
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$836$1,194
Providence St Peter HospitalOlympiaFile dated 2026-04-01$323 – $1,2428 plans$1,164$2,238
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$571 – $1,3967 plans$784$1,633
Swedish IssaquahIssaquahFile dated 2026-04-01$571 – $8457 plans$784$1,633
Swedish Medical CenterSeattleFile dated 2026-04-01$571 – $1,3599 plans$784$1,633
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$571 – $1,3599 plans$784$1,633
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$319 – $1,64420 plans$194$485
University of Washington Medical CtrSeattleFile dated 2026-04-01$609 – $1,1935 plans$680$971
Virginia Mason Medical CenterSeattle$364 – $1,3237 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$9601 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$238 – $98719 plans$194$485

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
$381 (fee)