HCPCS L5654
Addition to lower extremity, socket insert, symes, (kemblo, pelite, aliplast, plastazote or equal)
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 | $409 – $3,171 | — | — |
| Deaconess Medical Center | $568 – $1,974 | — | — |
| Harborview Medical Center | $759 – $949 | $581 | $830 |
| Kadlec Regional Medical Center | $715 – $1,332 | — | — |
| Mary Bridge Children's Hospital | $409 – $3,481 | — | — |
| MultiCare Auburn Medical Center | $397 – $2,049 | — | — |
| MultiCare Covington Medical Center | $397 – $2,049 | — | — |
| MultiCare Good Samaritan Hospital | $461 – $2,049 | — | — |
| MultiCare Valley Hospital | $454 – $1,970 | — | — |
| Overlake Hospital Medical Center & Clinics | $435 – $1,305 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $735 – $1,574 | — | — |
| Providence Centralia Hospital | $802 – $1,773 | — | — |
| Providence Regional Medical Center Everett | $569 – $1,100 | — | — |
| Providence St Peter Hospital | $403 – $1,549 | — | — |
| Seattle Children's Hospital | $921 – $1,637 | $1,706 | $1,706 |
| Swedish Edmonds Hospital | $711 – $1,740 | — | — |
| Swedish Issaquah | $711 – $1,053 | — | — |
| Swedish Medical Center | $711 – $1,694 | — | — |
| Swedish Medical Center / Cherry Hill | $711 – $1,694 | — | — |
| Tacoma General Allenmore Hospital | $397 – $2,049 | — | — |
| University of Washington Medical Ctr | $759 – $1,487 | $812 | $1,161 |
| Virginia Mason Medical Center | $454 – $1,650 | — | — |
| Wellfound Behavioral Health Hospital | $1,197 | — | — |
| Yakima Valley Memorial | $409 – $1,230 | — | — |
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
- $474 (fee)