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
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 | $527 – $580 | — | — |
| Deaconess Medical Center | $527 – $580 | — | — |
| Harborview Medical Center | $538 – $592 | $653 – $659 | $933 – $941 |
| Kadlec Regional Medical Center | $538 – $645 | — | — |
| Mary Bridge Children's Hospital | $527 – $580 | — | — |
| MultiCare Auburn Medical Center | $527 – $580 | — | — |
| MultiCare Covington Medical Center | $527 – $580 | — | — |
| MultiCare Good Samaritan Hospital | $527 – $580 | — | — |
| MultiCare Valley Hospital | $543 – $580 | — | — |
| Overlake Hospital Medical Center & Clinics | $538 – $559 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $538 – $645 | — | — |
| Providence Centralia Hospital | $538 – $861 | — | — |
| Providence Regional Medical Center Everett | $538 – $592 | — | — |
| Providence St Peter Hospital | $538 – $861 | — | — |
| Seattle Children's Hospital | — | $1,592 | $1,592 |
| Swedish Edmonds Hospital | $538 – $645 | — | — |
| Swedish Issaquah | $538 – $645 | — | — |
| Swedish Medical Center | $538 – $645 | — | — |
| Swedish Medical Center / Cherry Hill | $538 – $645 | — | — |
| Tacoma General Allenmore Hospital | $527 – $580 | — | — |
| University of Washington Medical Ctr | $538 – $592 | $833 | $1,190 |
| Virginia Mason Medical Center | $369 – $554 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $527 – $590 | — | — |
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)