HCPCS L5210

Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each

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 L5210 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,413 – $26,48416 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,740 – $16,4859 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$6,338 – $7,9222 plans$4,852$6,932
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5,973 – $11,1265 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,413 – $29,0717 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,318 – $17,11317 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,318 – $17,11317 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,850 – $17,11312 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,792 – $16,44810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,633 – $10,89810 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6,135 – $13,1419 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$6,694 – $14,8105 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4,753 – $9,1897 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,367 – $12,9338 plans——
Seattle Children's HospitalSeattle$5,984 – $10,63998 plans$11,082$11,082
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5,941 – $14,5307 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$5,941 – $8,7937 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$5,941 – $14,1489 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5,941 – $14,1489 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,318 – $17,11317 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$6,338 – $12,4225 plans$6,122$8,746
Virginia Mason Medical CenterSeattle$3,792 – $13,7757 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$9,9961 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,413 – $10,27513 plans——

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
$3,961 (fee)