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
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 | $2,940 – $3,234 | — | — |
| Deaconess Medical Center | $2,940 – $3,234 | — | — |
| Harborview Medical Center | $3,000 – $3,300 | $3,675 | $5,250 |
| Kadlec Regional Medical Center | $3,000 – $3,600 | — | — |
| Mary Bridge Children's Hospital | $2,940 – $3,234 | — | — |
| MultiCare Auburn Medical Center | $2,940 – $3,234 | — | — |
| MultiCare Covington Medical Center | $2,940 – $3,234 | — | — |
| MultiCare Good Samaritan Hospital | $2,940 – $3,234 | — | — |
| MultiCare Valley Hospital | $3,028 – $3,234 | — | — |
| Overlake Hospital Medical Center & Clinics | $3,000 – $3,120 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,000 – $3,600 | — | — |
| Providence Centralia Hospital | $3,000 – $4,800 | — | — |
| Providence Regional Medical Center Everett | $3,000 – $3,300 | — | — |
| Providence St Peter Hospital | $3,000 – $4,800 | — | — |
| Seattle Children's Hospital | — | $8,394 | $8,394 |
| Swedish Edmonds Hospital | $3,000 – $3,600 | — | — |
| Swedish Issaquah | $3,000 – $3,600 | — | — |
| Swedish Medical Center | $3,000 – $3,600 | — | — |
| Swedish Medical Center / Cherry Hill | $3,000 – $3,600 | — | — |
| Tacoma General Allenmore Hospital | $2,940 – $3,234 | — | — |
| University of Washington Medical Ctr | $3,000 – $3,300 | $4,638 | $6,625 |
| Virginia Mason Medical Center | $2,059 – $3,089 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,940 – $3,293 | — | — |
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)