HCPCS L5624
Addition to lower extremity, test socket, above knee
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 | $452 – $497 | — | — |
| Deaconess Medical Center | $452 – $497 | — | — |
| Harborview Medical Center | $461 – $507 | $558 – $565 | $797 – $807 |
| Kadlec Regional Medical Center | $461 – $553 | — | — |
| Mary Bridge Children's Hospital | $452 – $497 | — | — |
| MultiCare Auburn Medical Center | $452 – $497 | — | — |
| MultiCare Covington Medical Center | $452 – $497 | — | — |
| MultiCare Good Samaritan Hospital | $452 – $497 | — | — |
| MultiCare Valley Hospital | $465 – $497 | — | — |
| Overlake Hospital Medical Center & Clinics | $461 – $480 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $461 – $553 | — | — |
| Providence Centralia Hospital | $461 – $738 | — | — |
| Providence Regional Medical Center Everett | $461 – $507 | — | — |
| Providence St Peter Hospital | $461 – $738 | — | — |
| Seattle Children's Hospital | — | $1,516 | $1,516 |
| Swedish Edmonds Hospital | $461 – $553 | — | — |
| Swedish Issaquah | $461 – $553 | — | — |
| Swedish Medical Center | $461 – $553 | — | — |
| Swedish Medical Center / Cherry Hill | $461 – $553 | — | — |
| Tacoma General Allenmore Hospital | $452 – $497 | — | — |
| University of Washington Medical Ctr | $461 – $507 | $712 | $1,017 |
| Virginia Mason Medical Center | $316 – $475 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $452 – $506 | — | — |
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)