HCPCS L5631
Addition to lower extremity, above knee or knee disarticulation, acrylic socket
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 | $464 – $3,597 | — | — |
| Deaconess Medical Center | $644 – $2,239 | — | — |
| Harborview Medical Center | $861 – $1,076 | $653 – $659 | $933 – $941 |
| Kadlec Regional Medical Center | $811 – $1,511 | — | — |
| Mary Bridge Children's Hospital | $464 – $3,948 | — | — |
| MultiCare Auburn Medical Center | $451 – $2,324 | — | — |
| MultiCare Covington Medical Center | $451 – $2,324 | — | — |
| MultiCare Good Samaritan Hospital | $523 – $2,324 | — | — |
| MultiCare Valley Hospital | $515 – $2,234 | — | — |
| Overlake Hospital Medical Center & Clinics | $493 – $1,480 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $833 – $1,785 | — | — |
| Providence Centralia Hospital | $909 – $2,011 | — | — |
| Providence Regional Medical Center Everett | $645 – $1,248 | — | — |
| Providence St Peter Hospital | $457 – $1,756 | — | — |
| Seattle Children's Hospital | $859 – $1,528 | $1,592 | $1,592 |
| Swedish Edmonds Hospital | $807 – $1,973 | — | — |
| Swedish Issaquah | $807 – $1,194 | — | — |
| Swedish Medical Center | $807 – $1,921 | — | — |
| Swedish Medical Center / Cherry Hill | $807 – $1,921 | — | — |
| Tacoma General Allenmore Hospital | $451 – $2,324 | — | — |
| University of Washington Medical Ctr | $861 – $1,687 | $833 | $1,190 |
| Virginia Mason Medical Center | $515 – $1,871 | — | — |
| Wellfound Behavioral Health Hospital | $1,357 | — | — |
| Yakima Valley Memorial | $464 – $1,395 | — | — |
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
- $538 (fee)