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
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 | — | $1,309 | $3,272 |
| Deaconess Medical Center | — | $1,309 | $3,272 |
| Harborview Medical Center | — | $3,145 | $4,492 |
| Mary Bridge Children's Hospital | — | $1,309 | $3,272 |
| MultiCare Auburn Medical Center | — | $1,309 | $3,272 |
| MultiCare Covington Medical Center | — | $1,309 | $3,272 |
| MultiCare Good Samaritan Hospital | — | $1,309 | $3,272 |
| MultiCare Valley Hospital | — | $1,309 | $3,272 |
| Seattle Children's Hospital | — | $6,910 | $6,910 |
| Tacoma General Allenmore Hospital | — | $1,309 | $3,272 |
| Yakima Valley Memorial | — | $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)