HCPCS L5696
Addition to lower extremity, above knee or knee disarticulation, pelvic joint
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 | $260 – $2,019 | — | — |
| Deaconess Medical Center | $361 – $1,257 | — | — |
| Harborview Medical Center | $483 – $604 | $370 | $529 |
| Kadlec Regional Medical Center | $455 – $848 | — | — |
| Mary Bridge Children's Hospital | $260 – $2,217 | — | — |
| MultiCare Auburn Medical Center | $253 – $1,305 | — | — |
| MultiCare Covington Medical Center | $253 – $1,305 | — | — |
| MultiCare Good Samaritan Hospital | $294 – $1,305 | — | — |
| MultiCare Valley Hospital | $289 – $1,254 | — | — |
| Overlake Hospital Medical Center & Clinics | $277 – $831 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $468 – $1,002 | — | — |
| Providence Centralia Hospital | $510 – $1,129 | — | — |
| Providence Regional Medical Center Everett | $362 – $701 | — | — |
| Providence St Peter Hospital | $257 – $986 | — | — |
| Seattle Children's Hospital | $462 – $821 | $855 | $855 |
| Swedish Edmonds Hospital | $453 – $1,108 | — | — |
| Swedish Issaquah | $453 – $670 | — | — |
| Swedish Medical Center | $453 – $1,079 | — | — |
| Swedish Medical Center / Cherry Hill | $453 – $1,079 | — | — |
| Tacoma General Allenmore Hospital | $253 – $1,305 | — | — |
| University of Washington Medical Ctr | $483 – $947 | $467 | $667 |
| Virginia Mason Medical Center | $289 – $1,050 | — | — |
| Wellfound Behavioral Health Hospital | $762 | — | — |
| Yakima Valley Memorial | $260 – $783 | — | — |
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
- $302 (fee)