HCPCS L5570

Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5570 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,728 – $3,0006 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,728 – $3,0008 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,783 – $3,0625 plans$3,410$4,871
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,783 – $3,3407 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,728 – $3,0007 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,728 – $3,0007 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,728 – $3,0007 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,728 – $3,0007 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,810 – $3,0007 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,783 – $2,8953 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,783 – $3,3407 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,783 – $4,4537 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,783 – $3,0626 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,783 – $4,4537 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,783 – $3,3408 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,783 – $3,3408 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,783 – $3,3408 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,783 – $3,3408 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,728 – $3,0007 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,783 – $3,0625 plans——
Virginia Mason Medical CenterSeattle$1,910 – $2,8659 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,728 – $3,0558 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
$2,783 (fee)