HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Current code24 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 L2627 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,697 – $13,17219 plans$1,004$2,511
Deaconess Medical CenterSpokaneFile dated 2026-08-27$933 – $8,19916 plans$1,004$2,511
Harborview Medical CenterSeattleFile dated 2026-04-01$3,152 – $3,9402 plans$2,413$3,447
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,971 – $5,5345 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,622 – $14,45818 plans$1,004$2,511
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,650 – $8,51120 plans$1,004$2,511
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,650 – $8,51120 plans$1,004$2,511
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,650 – $8,51120 plans$1,004$2,511
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$933 – $8,18016 plans$1,004$2,511
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,807 – $5,42010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,051 – $6,5359 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,329 – $7,3665 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,364 – $4,5707 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,674 – $6,4328 plans——
Seattle Children's HospitalSeattle$3,858 – $6,85998 plans$7,145$7,145
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,955 – $7,2267 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,955 – $4,3737 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,955 – $7,0369 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,955 – $7,0369 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,650 – $8,51120 plans$1,004$2,511
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,152 – $6,1785 plans$3,046$4,351
Virginia Mason Medical CenterSeattle$1,886 – $6,8517 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,9711 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,230 – $5,11019 plans$1,004$2,511

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
$1,970 (fee)