HCPCS L5200
Above knee, molded socket, single axis constant friction knee, shin, sach foot
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 | $4,887 – $5,376 | — | — |
| Deaconess Medical Center | $4,887 – $5,376 | — | — |
| Harborview Medical Center | $4,987 – $5,486 | $6,109 | $8,727 |
| Kadlec Regional Medical Center | $4,987 – $5,984 | — | — |
| Mary Bridge Children's Hospital | $4,887 – $5,376 | — | — |
| MultiCare Auburn Medical Center | $4,887 – $5,376 | — | — |
| MultiCare Covington Medical Center | $4,887 – $5,376 | — | — |
| MultiCare Good Samaritan Hospital | $4,887 – $5,376 | — | — |
| MultiCare Valley Hospital | $5,034 – $5,376 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,987 – $5,186 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,987 – $5,984 | — | — |
| Providence Centralia Hospital | $4,987 – $7,979 | — | — |
| Providence Regional Medical Center Everett | $4,987 – $5,486 | — | — |
| Providence St Peter Hospital | $4,987 – $7,979 | — | — |
| Seattle Children's Hospital | — | $14,809 | $14,809 |
| Swedish Edmonds Hospital | $4,987 – $5,984 | — | — |
| Swedish Issaquah | $4,987 – $5,984 | — | — |
| Swedish Medical Center | $4,987 – $5,984 | — | — |
| Swedish Medical Center / Cherry Hill | $4,987 – $5,984 | — | — |
| Tacoma General Allenmore Hospital | $4,887 – $5,376 | — | — |
| University of Washington Medical Ctr | $4,987 – $5,486 | $7,706 | $11,009 |
| Virginia Mason Medical Center | $3,422 – $5,134 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,887 – $5,474 | — | — |
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
- $4,987 (fee)