HCPCS L5630

Addition to lower extremity, symes type, expandable wall socket

Current code24 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 L5630 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$534 – $4,14616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$742 – $2,5809 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$992 – $1,2402 plans$760$1,085
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$935 – $1,7425 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$534 – $4,5517 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$519 – $2,67917 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$519 – $2,67917 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$603 – $2,67912 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$594 – $2,57510 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$569 – $1,70610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$960 – $2,0579 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,048 – $2,3185 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$744 – $1,4387 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$527 – $2,0248 plans——
Seattle Children's HospitalSeattle$970 – $1,72598 plans$1,797$1,797
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$930 – $2,2747 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$930 – $1,3767 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$930 – $2,2159 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$930 – $2,2159 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$519 – $2,67917 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$992 – $1,9445 plans$960$1,371
Virginia Mason Medical CenterSeattle$594 – $2,1567 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,5651 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$534 – $1,60813 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
$620 (fee)