HCPCS L2624
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each
Current code27 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $373 – $410 | $194 | $485 |
| Deaconess Medical Center | $373 – $410 | $194 | $485 |
| Harborview Medical Center | $381 – $419 | $455 – $466 | $650 – $666 |
| Kadlec Regional Medical Center | $381 – $457 | $769 | $1,098 |
| Mary Bridge Children's Hospital | $373 – $410 | $194 | $485 |
| MultiCare Auburn Medical Center | $373 – $410 | $194 | $485 |
| MultiCare Covington Medical Center | $373 – $410 | $194 | $485 |
| MultiCare Good Samaritan Hospital | $373 – $410 | $194 | $485 |
| MultiCare Valley Hospital | $384 – $410 | $194 | $485 |
| Overlake Hospital Medical Center & Clinics | $381 – $396 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $381 – $457 | $947 | $1,352 |
| Providence Centralia Hospital | $381 – $609 | $1,164 | $2,238 |
| Providence Holy Family Hospital | — | $947 | $1,352 |
| Providence Mount Carmel Hospital | — | $898 | $1,283 |
| Providence Regional Medical Center Everett | $381 – $419 | $1,280 | $2,462 |
| Providence St Joseph Hospital | — | $898 | $1,283 |
| Providence St Mary Medical Center | — | $836 | $1,194 |
| Providence St Peter Hospital | $381 – $609 | $1,164 | $2,238 |
| Swedish Edmonds Hospital | $381 – $457 | $784 | $1,633 |
| Swedish Issaquah | $381 – $457 | $784 | $1,633 |
| Swedish Medical Center | $381 – $457 | $784 | $1,633 |
| Swedish Medical Center / Cherry Hill | $381 – $457 | $784 | $1,633 |
| Tacoma General Allenmore Hospital | $373 – $410 | $194 | $485 |
| University of Washington Medical Ctr | $381 – $419 | $680 | $971 |
| Virginia Mason Medical Center | $261 – $392 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $373 – $418 | $194 | $485 |
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)