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 | $2,516 – $2,767 | $1,309 | $3,272 |
| Deaconess Medical Center | $2,516 – $2,767 | $1,309 | $3,272 |
| Harborview Medical Center | $2,567 – $2,824 | $3,145 | $4,492 |
| Kadlec Regional Medical Center | $2,567 – $3,080 | — | — |
| Mary Bridge Children's Hospital | $2,516 – $2,767 | $1,309 | $3,272 |
| MultiCare Auburn Medical Center | $2,516 – $2,767 | $1,309 | $3,272 |
| MultiCare Covington Medical Center | $2,516 – $2,767 | $1,309 | $3,272 |
| MultiCare Good Samaritan Hospital | $2,516 – $2,767 | $1,309 | $3,272 |
| MultiCare Valley Hospital | $2,591 – $2,767 | $1,309 | $3,272 |
| Overlake Hospital Medical Center & Clinics | $2,567 – $2,670 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,567 – $3,080 | — | — |
| Providence Centralia Hospital | $2,567 – $4,107 | — | — |
| Providence Regional Medical Center Everett | $2,567 – $2,824 | — | — |
| Providence St Peter Hospital | $2,567 – $4,107 | — | — |
| Seattle Children's Hospital | — | $6,910 | $6,910 |
| Swedish Edmonds Hospital | $2,567 – $3,080 | — | — |
| Swedish Issaquah | $2,567 – $3,080 | — | — |
| Swedish Medical Center | $2,567 – $3,080 | — | — |
| Swedish Medical Center / Cherry Hill | $2,567 – $3,080 | — | — |
| Tacoma General Allenmore Hospital | $2,516 – $2,767 | $1,309 | $3,272 |
| University of Washington Medical Ctr | $2,567 – $2,824 | — | — |
| Virginia Mason Medical Center | $1,762 – $2,642 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,516 – $2,818 | $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)