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
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 | $5,324 – $5,856 | — | — |
| Deaconess Medical Center | $5,324 – $5,856 | — | — |
| Harborview Medical Center | $5,432 – $5,975 | $6,577 – $6,655 | $9,395 – $9,506 |
| Kadlec Regional Medical Center | $5,432 – $6,519 | — | — |
| Mary Bridge Children's Hospital | $5,324 – $5,856 | — | — |
| MultiCare Auburn Medical Center | $5,324 – $5,856 | — | — |
| MultiCare Covington Medical Center | $5,324 – $5,856 | — | — |
| MultiCare Good Samaritan Hospital | $5,324 – $5,856 | — | — |
| MultiCare Valley Hospital | $5,483 – $5,856 | — | — |
| Overlake Hospital Medical Center & Clinics | $5,432 – $5,650 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,432 – $6,519 | — | — |
| Providence Centralia Hospital | $5,432 – $8,692 | — | — |
| Providence Regional Medical Center Everett | $5,432 – $5,975 | — | — |
| Providence St Peter Hospital | $5,432 – $8,692 | — | — |
| Seattle Children's Hospital | — | $15,180 | $15,180 |
| Swedish Edmonds Hospital | $5,432 – $6,519 | — | — |
| Swedish Issaquah | $5,432 – $6,519 | — | — |
| Swedish Medical Center | $5,432 – $6,519 | — | — |
| Swedish Medical Center / Cherry Hill | $5,432 – $6,519 | — | — |
| Tacoma General Allenmore Hospital | $5,324 – $5,856 | — | — |
| University of Washington Medical Ctr | $5,432 – $5,975 | $8,394 | $11,991 |
| Virginia Mason Medical Center | $3,728 – $5,592 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $5,324 – $5,962 | — | — |
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)