HCPCS L5681 at Deaconess Medical Center

Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)

Deaconess Medical Center, Spokane

Description from CMS's HCPCS Level II code file.

What Deaconess Medical Center publishes for this code: as an outpatient

Deaconess Medical Center’s prices for HCPCS L5681, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$749 – $6,57916 plans	—
Medicare AdvantageInsurer rates	$1,549 – $1,7048 plans	—
Cash pricePaying yourself, without insurance	$806	—
List priceBefore any discount; few people pay it	$2,015	—

Lowest and highest amounts Deaconess Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

What Deaconess Medical Center publishes for this code: during a hospital stay

Deaconess Medical Center’s prices for HCPCS L5681, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$1,431 – $1,4712 plans	—
Cash pricePaying yourself, without insurance	$806	—
List priceBefore any discount; few people pay it	$2,015	—

Lowest and highest amounts Deaconess Medical Center lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS L5681 at Deaconess Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS L5681 at every Washington hospital, with Medicare’s reference amounts.