HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L5616 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,433 – $11,11716 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,990 – $6,9209 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,660 – $3,3252 plans$2,037$2,910
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,508 – $4,6715 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,433 – $12,2037 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,393 – $7,18417 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,393 – $7,18417 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,616 – $7,18412 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,592 – $6,90410 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,525 – $4,57510 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,575 – $5,5169 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,810 – $6,2175 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,995 – $3,8587 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,413 – $5,4298 plans——
Seattle Children's HospitalSeattle$2,516 – $4,47398 plans$4,660$4,660
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,494 – $6,0997 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,494 – $3,6917 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,494 – $5,9399 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,494 – $5,9399 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,393 – $7,18417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,660 – $5,2145 plans$2,571$3,673
Virginia Mason Medical CenterSeattle$1,592 – $5,7837 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,1961 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,433 – $4,31313 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
$1,663 (fee)