HCPCS L5626
Addition to lower extremity, test socket, hip disarticulation
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 | $577 – $4,476 | — | — |
| Deaconess Medical Center | $801 – $2,786 | — | — |
| Harborview Medical Center | $1,071 – $1,339 | $820 | $1,172 |
| Kadlec Regional Medical Center | $1,010 – $1,881 | — | — |
| Mary Bridge Children's Hospital | $577 – $4,913 | — | — |
| MultiCare Auburn Medical Center | $561 – $2,892 | — | — |
| MultiCare Covington Medical Center | $561 – $2,892 | — | — |
| MultiCare Good Samaritan Hospital | $651 – $2,892 | — | — |
| MultiCare Valley Hospital | $641 – $2,780 | — | — |
| Overlake Hospital Medical Center & Clinics | $614 – $1,842 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,037 – $2,221 | — | — |
| Providence Centralia Hospital | $1,131 – $2,503 | — | — |
| Providence Regional Medical Center Everett | $803 – $1,553 | — | — |
| Providence St Peter Hospital | $569 – $2,186 | — | — |
| Seattle Children's Hospital | $1,016 – $1,806 | $1,881 | $1,881 |
| Swedish Edmonds Hospital | $1,004 – $2,456 | — | — |
| Swedish Issaquah | $1,004 – $1,486 | — | — |
| Swedish Medical Center | $1,004 – $2,391 | — | — |
| Swedish Medical Center / Cherry Hill | $1,004 – $2,391 | — | — |
| Tacoma General Allenmore Hospital | $561 – $2,892 | — | — |
| University of Washington Medical Ctr | $1,071 – $2,100 | $1,036 | $1,480 |
| Virginia Mason Medical Center | $641 – $2,328 | — | — |
| Wellfound Behavioral Health Hospital | $1,689 | — | — |
| Yakima Valley Memorial | $577 – $1,737 | — | — |
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
- $669 (fee)