HCPCS L2628
Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables
Current code24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,212 – $17,163 | $1,309 | $3,272 |
| Deaconess Medical Center | $1,216 – $10,683 | $1,309 | $3,272 |
| Harborview Medical Center | $4,107 – $5,134 | $3,145 | $4,492 |
| Kadlec Regional Medical Center | $3,871 – $7,211 | — | — |
| Mary Bridge Children's Hospital | $2,113 – $18,840 | $1,309 | $3,272 |
| MultiCare Auburn Medical Center | $2,150 – $11,091 | $1,309 | $3,272 |
| MultiCare Covington Medical Center | $2,150 – $11,091 | $1,309 | $3,272 |
| MultiCare Good Samaritan Hospital | $2,150 – $11,091 | $1,309 | $3,272 |
| MultiCare Valley Hospital | $1,216 – $10,659 | $1,309 | $3,272 |
| Overlake Hospital Medical Center & Clinics | $2,354 – $7,062 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,976 – $8,516 | — | — |
| Providence Centralia Hospital | $4,338 – $9,598 | — | — |
| Providence Regional Medical Center Everett | $3,080 – $5,955 | — | — |
| Providence St Peter Hospital | $2,182 – $8,381 | — | — |
| Seattle Children's Hospital | $3,731 – $6,633 | $6,910 | $6,910 |
| Swedish Edmonds Hospital | $3,850 – $9,416 | — | — |
| Swedish Issaquah | $3,850 – $5,699 | — | — |
| Swedish Medical Center | $3,850 – $9,169 | — | — |
| Swedish Medical Center / Cherry Hill | $3,850 – $9,169 | — | — |
| Tacoma General Allenmore Hospital | $2,150 – $11,091 | $1,309 | $3,272 |
| University of Washington Medical Ctr | $4,107 – $8,050 | — | — |
| Virginia Mason Medical Center | $2,458 – $8,927 | — | — |
| Wellfound Behavioral Health Hospital | $6,478 | — | — |
| Yakima Valley Memorial | $1,603 – $6,659 | $1,309 | $3,272 |
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
- $2,567 (fee)