HCPCS L5626
Addition to lower extremity, test socket, hip disarticulation
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 | $656 – $722 | — | — |
| Deaconess Medical Center | $656 – $722 | — | — |
| Harborview Medical Center | $669 – $736 | $820 | $1,172 |
| Kadlec Regional Medical Center | $669 – $803 | — | — |
| Mary Bridge Children's Hospital | $656 – $722 | — | — |
| MultiCare Auburn Medical Center | $656 – $722 | — | — |
| MultiCare Covington Medical Center | $656 – $722 | — | — |
| MultiCare Good Samaritan Hospital | $656 – $722 | — | — |
| MultiCare Valley Hospital | $676 – $722 | — | — |
| Overlake Hospital Medical Center & Clinics | $669 – $696 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $669 – $803 | — | — |
| Providence Centralia Hospital | $669 – $1,071 | — | — |
| Providence Regional Medical Center Everett | $669 – $736 | — | — |
| Providence St Peter Hospital | $669 – $1,071 | — | — |
| Seattle Children's Hospital | — | $1,881 | $1,881 |
| Swedish Edmonds Hospital | $669 – $803 | — | — |
| Swedish Issaquah | $669 – $803 | — | — |
| Swedish Medical Center | $669 – $803 | — | — |
| Swedish Medical Center / Cherry Hill | $669 – $803 | — | — |
| Tacoma General Allenmore Hospital | $656 – $722 | — | — |
| University of Washington Medical Ctr | $669 – $736 | $1,036 | $1,480 |
| Virginia Mason Medical Center | $459 – $689 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $656 – $735 | — | — |
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)