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$388 – $4122 plans$194$485
Deaconess Medical CenterSpokaneFile dated 2026-08-27$344 – $3542 plans$194$485
Harborview Medical CenterSeattleFile dated 2026-04-01—$455 – $466$650 – $666
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$769$1,098
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$317 – $3886 plans$194$485
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$286 – $3543 plans$194$485
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$286 – $3543 plans$194$485
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$286 – $3543 plans$194$485
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3492 plans$194$485
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$947$1,352
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$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—$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—$1,164$2,238
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$784$1,633
Swedish IssaquahIssaquahFile dated 2026-04-01—$784$1,633
Swedish Medical CenterSeattleFile dated 2026-04-01—$784$1,633
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$784$1,633
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$286 – $3543 plans$194$485
University of Washington Medical CtrSeattleFile dated 2026-04-01—$680$971
Yakima Valley MemorialYakimaFile dated 2026-08-27$2721 plan$194$485

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
$381 (fee)