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
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 | $4,412 – $4,854 | — | — |
| Deaconess Medical Center | $4,412 – $4,854 | — | — |
| Harborview Medical Center | $4,502 – $4,953 | $5,515 | $7,879 |
| Kadlec Regional Medical Center | $4,502 – $5,403 | — | — |
| Mary Bridge Children's Hospital | $4,412 – $4,854 | — | — |
| MultiCare Auburn Medical Center | $4,412 – $4,854 | — | — |
| MultiCare Covington Medical Center | $4,412 – $4,854 | — | — |
| MultiCare Good Samaritan Hospital | $4,412 – $4,854 | — | — |
| MultiCare Valley Hospital | $4,545 – $4,854 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,502 – $4,682 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,502 – $5,403 | — | — |
| Providence Centralia Hospital | $4,502 – $7,204 | — | — |
| Providence Regional Medical Center Everett | $4,502 – $4,953 | — | — |
| Providence St Peter Hospital | $4,502 – $7,204 | — | — |
| Seattle Children's Hospital | — | $13,114 | $13,114 |
| Swedish Edmonds Hospital | $4,502 – $5,403 | — | — |
| Swedish Issaquah | $4,502 – $5,403 | — | — |
| Swedish Medical Center | $4,502 – $5,403 | — | — |
| Swedish Medical Center / Cherry Hill | $4,502 – $5,403 | — | — |
| Tacoma General Allenmore Hospital | $4,412 – $4,854 | — | — |
| University of Washington Medical Ctr | $4,502 – $4,953 | $6,958 | $9,940 |
| Virginia Mason Medical Center | $3,090 – $4,635 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,412 – $4,942 | — | — |
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)