HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each

Current code23 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 L5617 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$579 – $4,49616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$805 – $2,7999 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,076 – $1,3452 plans$824$1,177
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,014 – $1,8895 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$579 – $4,9357 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$563 – $2,90517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$563 – $2,90517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$654 – $2,90512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$644 – $2,79210 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$617 – $1,85010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,041 – $2,2319 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,136 – $2,5145 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$807 – $1,5607 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$572 – $2,1958 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,009 – $2,4677 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,009 – $1,4937 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,009 – $2,4029 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,009 – $2,4029 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$563 – $2,90517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,076 – $2,1095 plans$1,041$1,487
Virginia Mason Medical CenterSeattle$644 – $2,3397 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,6971 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$579 – $1,74413 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
$672 (fee)