HCPCS L5707
Custom shaped protective cover, hip 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 | $1,488 – $11,546 | — | — |
| Deaconess Medical Center | $2,067 – $7,187 | — | — |
| Harborview Medical Center | $2,763 – $3,454 | $2,091 – $2,115 | $2,987 – $3,022 |
| Kadlec Regional Medical Center | $2,604 – $4,851 | — | — |
| Mary Bridge Children's Hospital | $1,488 – $12,674 | — | — |
| MultiCare Auburn Medical Center | $1,447 – $7,461 | — | — |
| MultiCare Covington Medical Center | $1,447 – $7,461 | — | — |
| MultiCare Good Samaritan Hospital | $1,679 – $7,461 | — | — |
| MultiCare Valley Hospital | $1,653 – $7,171 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,584 – $4,751 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,675 – $5,729 | — | — |
| Providence Centralia Hospital | $2,918 – $6,457 | — | — |
| Providence Regional Medical Center Everett | $2,072 – $4,006 | — | — |
| Providence St Peter Hospital | $1,468 – $5,638 | — | — |
| Seattle Children's Hospital | $2,615 – $4,648 | $4,842 | $4,842 |
| Swedish Edmonds Hospital | $2,590 – $6,335 | — | — |
| Swedish Issaquah | $2,590 – $3,834 | — | — |
| Swedish Medical Center | $2,590 – $6,168 | — | — |
| Swedish Medical Center / Cherry Hill | $2,590 – $6,168 | — | — |
| Tacoma General Allenmore Hospital | $1,447 – $7,461 | — | — |
| University of Washington Medical Ctr | $2,763 – $5,416 | $2,669 | $3,814 |
| Virginia Mason Medical Center | $1,653 – $6,006 | — | — |
| Wellfound Behavioral Health Hospital | $4,358 | — | — |
| Yakima Valley Memorial | $1,488 – $4,480 | — | — |
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
- $1,727 (fee)