HCPCS L5699

All lower extremity prostheses, shoulder harness

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L5699 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$259 – $2,01216 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$360 – $1,2539 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$482 – $6022 plans$369$527
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$454 – $8455 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$259 – $2,2097 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$252 – $1,30017 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$252 – $1,30017 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$293 – $1,30012 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$288 – $1,25010 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$276 – $82810 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$466 – $9989 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$509 – $1,1255 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$361 – $6987 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$256 – $9838 plans——
Seattle Children's HospitalSeattle$453 – $80598 plans$838$838
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$451 – $1,1047 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$451 – $6687 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$451 – $1,0759 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$451 – $1,0759 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$252 – $1,30017 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$482 – $9445 plans——
Virginia Mason Medical CenterSeattle$288 – $1,0477 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$7591 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$259 – $78113 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
$301 (fee)