HCPCS L5706
Custom shaped protective cover, knee disarticulation
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 | $1,047 – $8,122 | — | — |
| Deaconess Medical Center | $1,454 – $5,056 | — | — |
| Harborview Medical Center | $1,944 – $2,429 | $1,488 | $2,126 |
| Kadlec Regional Medical Center | $1,832 – $3,412 | — | — |
| Mary Bridge Children's Hospital | $1,047 – $8,915 | — | — |
| MultiCare Auburn Medical Center | $1,018 – $5,248 | — | — |
| MultiCare Covington Medical Center | $1,018 – $5,248 | — | — |
| MultiCare Good Samaritan Hospital | $1,181 – $5,248 | — | — |
| MultiCare Valley Hospital | $1,163 – $5,044 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,114 – $3,342 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,881 – $4,030 | — | — |
| Providence Centralia Hospital | $2,053 – $4,542 | — | — |
| Providence Regional Medical Center Everett | $1,458 – $2,818 | — | — |
| Providence St Peter Hospital | $1,033 – $3,966 | — | — |
| Seattle Children's Hospital | $1,840 – $3,271 | $3,407 | $3,407 |
| Swedish Edmonds Hospital | $1,822 – $4,456 | — | — |
| Swedish Issaquah | $1,822 – $2,697 | — | — |
| Swedish Medical Center | $1,822 – $4,339 | — | — |
| Swedish Medical Center / Cherry Hill | $1,822 – $4,339 | — | — |
| Tacoma General Allenmore Hospital | $1,018 – $5,248 | — | — |
| University of Washington Medical Ctr | $1,944 – $3,810 | $1,878 | $2,682 |
| Virginia Mason Medical Center | $1,163 – $4,225 | — | — |
| Wellfound Behavioral Health Hospital | $3,065 | — | — |
| Yakima Valley Memorial | $1,047 – $3,151 | — | — |
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
- $1,215 (fee)