HCPCS L5613
Addition to lower extremity, endoskeletal system, above knee-knee disarticulation, 4 bar linkage, with hydraulic swing phase control
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 | $2,585 – $20,061 | — | — |
| Deaconess Medical Center | $3,591 – $12,487 | — | — |
| Harborview Medical Center | $4,800 – $6,001 | $3,675 | $5,250 |
| Kadlec Regional Medical Center | $4,525 – $8,428 | — | — |
| Mary Bridge Children's Hospital | $2,585 – $22,020 | — | — |
| MultiCare Auburn Medical Center | $2,513 – $12,963 | — | — |
| MultiCare Covington Medical Center | $2,513 – $12,963 | — | — |
| MultiCare Good Samaritan Hospital | $2,917 – $12,963 | — | — |
| MultiCare Valley Hospital | $2,872 – $12,459 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,751 – $8,254 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,647 – $9,953 | — | — |
| Providence Centralia Hospital | $5,070 – $11,218 | — | — |
| Providence Regional Medical Center Everett | $3,600 – $6,961 | — | — |
| Providence St Peter Hospital | $2,550 – $9,796 | — | — |
| Seattle Children's Hospital | $4,533 – $8,058 | $8,394 | $8,394 |
| Swedish Edmonds Hospital | $4,500 – $11,006 | — | — |
| Swedish Issaquah | $4,500 – $6,661 | — | — |
| Swedish Medical Center | $4,500 – $10,716 | — | — |
| Swedish Medical Center / Cherry Hill | $4,500 – $10,716 | — | — |
| Tacoma General Allenmore Hospital | $2,513 – $12,963 | — | — |
| University of Washington Medical Ctr | $4,800 – $9,409 | $4,638 | $6,625 |
| Virginia Mason Medical Center | $2,872 – $10,434 | — | — |
| Wellfound Behavioral Health Hospital | $7,571 | — | — |
| Yakima Valley Memorial | $2,585 – $7,783 | — | — |
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
- $3,000 (fee)