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
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 | $296 – $326 | — | — |
| Deaconess Medical Center | $296 – $326 | — | — |
| Harborview Medical Center | $302 – $332 | $370 | $529 |
| Kadlec Regional Medical Center | $302 – $362 | — | — |
| Mary Bridge Children's Hospital | $296 – $326 | — | — |
| MultiCare Auburn Medical Center | $296 – $326 | — | — |
| MultiCare Covington Medical Center | $296 – $326 | — | — |
| MultiCare Good Samaritan Hospital | $296 – $326 | — | — |
| MultiCare Valley Hospital | $305 – $326 | — | — |
| Overlake Hospital Medical Center & Clinics | $302 – $314 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $302 – $362 | — | — |
| Providence Centralia Hospital | $302 – $483 | — | — |
| Providence Regional Medical Center Everett | $302 – $332 | — | — |
| Providence St Peter Hospital | $302 – $483 | — | — |
| Seattle Children's Hospital | — | $855 | $855 |
| Swedish Edmonds Hospital | $302 – $362 | — | — |
| Swedish Issaquah | $302 – $362 | — | — |
| Swedish Medical Center | $302 – $362 | — | — |
| Swedish Medical Center / Cherry Hill | $302 – $362 | — | — |
| Tacoma General Allenmore Hospital | $296 – $326 | — | — |
| University of Washington Medical Ctr | $302 – $332 | $467 | $667 |
| Virginia Mason Medical Center | $207 – $311 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $296 – $331 | — | — |
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)