HCPCS L5624
Addition to lower extremity, test socket, above knee
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 | $397 – $3,083 | — | — |
| Deaconess Medical Center | $552 – $1,919 | — | — |
| Harborview Medical Center | $738 – $922 | $558 – $565 | $797 – $807 |
| Kadlec Regional Medical Center | $695 – $1,295 | — | — |
| Mary Bridge Children's Hospital | $397 – $3,384 | — | — |
| MultiCare Auburn Medical Center | $386 – $1,992 | — | — |
| MultiCare Covington Medical Center | $386 – $1,992 | — | — |
| MultiCare Good Samaritan Hospital | $448 – $1,992 | — | — |
| MultiCare Valley Hospital | $441 – $1,915 | — | — |
| Overlake Hospital Medical Center & Clinics | $423 – $1,269 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $714 – $1,530 | — | — |
| Providence Centralia Hospital | $779 – $1,724 | — | — |
| Providence Regional Medical Center Everett | $553 – $1,070 | — | — |
| Providence St Peter Hospital | $392 – $1,506 | — | — |
| Seattle Children's Hospital | $819 – $1,455 | $1,516 | $1,516 |
| Swedish Edmonds Hospital | $692 – $1,691 | — | — |
| Swedish Issaquah | $692 – $1,024 | — | — |
| Swedish Medical Center | $692 – $1,647 | — | — |
| Swedish Medical Center / Cherry Hill | $692 – $1,647 | — | — |
| Tacoma General Allenmore Hospital | $386 – $1,992 | — | — |
| University of Washington Medical Ctr | $738 – $1,446 | $712 | $1,017 |
| Virginia Mason Medical Center | $441 – $1,604 | — | — |
| Wellfound Behavioral Health Hospital | $1,164 | — | — |
| Yakima Valley Memorial | $397 – $1,196 | — | — |
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
- $461 (fee)