HCPCS L5643
Addition to lower extremity, hip disarticulation, flexible inner socket, external frame
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 | $1,885 – $14,626 | — | — |
| Deaconess Medical Center | $2,618 – $9,104 | — | — |
| Harborview Medical Center | $3,500 – $4,375 | $2,617 – $2,680 | $3,738 – $3,828 |
| Kadlec Regional Medical Center | $3,299 – $6,145 | — | — |
| Mary Bridge Children's Hospital | $1,885 – $16,054 | — | — |
| MultiCare Auburn Medical Center | $1,833 – $9,451 | — | — |
| MultiCare Covington Medical Center | $1,833 – $9,451 | — | — |
| MultiCare Good Samaritan Hospital | $2,126 – $9,451 | — | — |
| MultiCare Valley Hospital | $2,094 – $9,083 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,006 – $6,018 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,388 – $7,257 | — | — |
| Providence Centralia Hospital | $3,697 – $8,179 | — | — |
| Providence Regional Medical Center Everett | $2,625 – $5,075 | — | — |
| Providence St Peter Hospital | $1,859 – $7,142 | — | — |
| Seattle Children's Hospital | $2,985 – $5,307 | $5,528 | $5,528 |
| Swedish Edmonds Hospital | $3,281 – $8,024 | — | — |
| Swedish Issaquah | $3,281 – $4,856 | — | — |
| Swedish Medical Center | $3,281 – $7,813 | — | — |
| Swedish Medical Center / Cherry Hill | $3,281 – $7,813 | — | — |
| Tacoma General Allenmore Hospital | $1,833 – $9,451 | — | — |
| University of Washington Medical Ctr | $3,500 – $6,860 | $3,381 | $4,831 |
| Virginia Mason Medical Center | $2,094 – $7,607 | — | — |
| Wellfound Behavioral Health Hospital | $5,520 | — | — |
| Yakima Valley Memorial | $1,885 – $5,675 | — | — |
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
- $2,187 (fee)