HCPCS L5220
Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each
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 | $3,880 – $30,104 | — | — |
| Deaconess Medical Center | $5,388 – $18,738 | — | — |
| Harborview Medical Center | $7,204 – $9,005 | $5,515 | $7,879 |
| Kadlec Regional Medical Center | $6,790 – $12,647 | — | — |
| Mary Bridge Children's Hospital | $3,880 – $33,044 | — | — |
| MultiCare Auburn Medical Center | $3,772 – $19,452 | — | — |
| MultiCare Covington Medical Center | $3,772 – $19,452 | — | — |
| MultiCare Good Samaritan Hospital | $4,377 – $19,452 | — | — |
| MultiCare Valley Hospital | $4,311 – $18,696 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,129 – $12,387 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $6,973 – $14,937 | — | — |
| Providence Centralia Hospital | $7,609 – $16,834 | — | — |
| Providence Regional Medical Center Everett | $5,403 – $10,446 | — | — |
| Providence St Peter Hospital | $3,827 – $14,700 | — | — |
| Seattle Children's Hospital | $7,082 – $12,590 | $13,114 | $13,114 |
| Swedish Edmonds Hospital | $6,754 – $16,516 | — | — |
| Swedish Issaquah | $6,754 – $9,995 | — | — |
| Swedish Medical Center | $6,754 – $16,081 | — | — |
| Swedish Medical Center / Cherry Hill | $6,754 – $16,081 | — | — |
| Tacoma General Allenmore Hospital | $3,772 – $19,452 | — | — |
| University of Washington Medical Ctr | $7,204 – $14,120 | $6,958 | $9,940 |
| Virginia Mason Medical Center | $4,311 – $15,658 | — | — |
| Wellfound Behavioral Health Hospital | $11,362 | — | — |
| Yakima Valley Memorial | $3,880 – $11,680 | — | — |
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
- $4,502 (fee)