HCPCS L5650
Additions to lower extremity, total contact, above knee or knee disarticulation 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 | $689 – $757 | — | — |
| Deaconess Medical Center | $689 – $757 | — | — |
| Harborview Medical Center | $703 – $773 | $852 – $861 | $1,216 – $1,230 |
| Kadlec Regional Medical Center | $703 – $843 | — | — |
| Mary Bridge Children's Hospital | $689 – $757 | — | — |
| MultiCare Auburn Medical Center | $689 – $757 | — | — |
| MultiCare Covington Medical Center | $689 – $757 | — | — |
| MultiCare Good Samaritan Hospital | $689 – $757 | — | — |
| MultiCare Valley Hospital | $709 – $757 | — | — |
| Overlake Hospital Medical Center & Clinics | $703 – $731 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $703 – $843 | — | — |
| Providence Centralia Hospital | $703 – $1,124 | — | — |
| Providence Regional Medical Center Everett | $703 – $773 | — | — |
| Providence St Peter Hospital | $703 – $1,124 | — | — |
| Seattle Children's Hospital | — | $2,085 | $2,085 |
| Swedish Edmonds Hospital | $703 – $843 | — | — |
| Swedish Issaquah | $703 – $843 | — | — |
| Swedish Medical Center | $703 – $843 | — | — |
| Swedish Medical Center / Cherry Hill | $703 – $843 | — | — |
| Tacoma General Allenmore Hospital | $689 – $757 | — | — |
| University of Washington Medical Ctr | $703 – $773 | $1,206 | $1,722 |
| Virginia Mason Medical Center | $482 – $723 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $689 – $771 | — | — |
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
- $703 (fee)