HCPCS L5701
Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model
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 | $4,681 – $36,322 | — | — |
| Deaconess Medical Center | $6,501 – $22,608 | — | — |
| Harborview Medical Center | $8,692 – $10,865 | $6,577 – $6,655 | $9,395 – $9,506 |
| Kadlec Regional Medical Center | $8,192 – $15,259 | — | — |
| Mary Bridge Children's Hospital | $4,681 – $39,869 | — | — |
| MultiCare Auburn Medical Center | $4,551 – $23,470 | — | — |
| MultiCare Covington Medical Center | $4,551 – $23,470 | — | — |
| MultiCare Good Samaritan Hospital | $5,281 – $23,470 | — | — |
| MultiCare Valley Hospital | $5,201 – $22,558 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,982 – $14,945 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $8,414 – $18,021 | — | — |
| Providence Centralia Hospital | $9,181 – $20,311 | — | — |
| Providence Regional Medical Center Everett | $6,519 – $12,603 | — | — |
| Providence St Peter Hospital | $4,617 – $17,736 | — | — |
| Seattle Children's Hospital | $8,197 – $14,573 | $15,180 | $15,180 |
| Swedish Edmonds Hospital | $8,148 – $19,927 | — | — |
| Swedish Issaquah | $8,148 – $12,060 | — | — |
| Swedish Medical Center | $8,148 – $19,403 | — | — |
| Swedish Medical Center / Cherry Hill | $8,148 – $19,403 | — | — |
| Tacoma General Allenmore Hospital | $4,551 – $23,470 | — | — |
| University of Washington Medical Ctr | $8,692 – $17,036 | $8,394 | $11,991 |
| Virginia Mason Medical Center | $5,201 – $18,892 | — | — |
| Wellfound Behavioral Health Hospital | $13,708 | — | — |
| Yakima Valley Memorial | $4,681 – $14,092 | — | — |
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
- $5,432 (fee)