HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Current codeKnee Orthosis24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5653 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$858 – $9446 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$858 – $9448 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$876 – $9635 plans$1,073$1,532
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$876 – $1,0517 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$858 – $9447 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$858 – $9447 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$858 – $9447 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$858 – $9447 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$884 – $9447 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$876 – $9113 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$876 – $1,0517 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$876 – $1,4017 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$876 – $9636 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$876 – $1,4017 plans——
Seattle Children's HospitalSeattle—$1,335$1,335
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$876 – $1,0518 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$876 – $1,0518 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$876 – $1,0518 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$876 – $1,0518 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$858 – $9447 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$876 – $9635 plans$1,354$1,934
Virginia Mason Medical CenterSeattle$601 – $9019 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$858 – $9618 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
$876 (fee)