HCPCS L5707
Custom shaped protective cover, hip disarticulation
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 | $1,692 – $1,862 | — | — |
| Deaconess Medical Center | $1,692 – $1,862 | — | — |
| Harborview Medical Center | $1,727 – $1,900 | $2,091 – $2,115 | $2,987 – $3,022 |
| Kadlec Regional Medical Center | $1,727 – $2,072 | — | — |
| Mary Bridge Children's Hospital | $1,692 – $1,862 | — | — |
| MultiCare Auburn Medical Center | $1,692 – $1,862 | — | — |
| MultiCare Covington Medical Center | $1,692 – $1,862 | — | — |
| MultiCare Good Samaritan Hospital | $1,692 – $1,862 | — | — |
| MultiCare Valley Hospital | $1,743 – $1,862 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,727 – $1,796 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,727 – $2,072 | — | — |
| Providence Centralia Hospital | $1,727 – $2,763 | — | — |
| Providence Regional Medical Center Everett | $1,727 – $1,900 | — | — |
| Providence St Peter Hospital | $1,727 – $2,763 | — | — |
| Seattle Children's Hospital | — | $4,842 | $4,842 |
| Swedish Edmonds Hospital | $1,727 – $2,072 | — | — |
| Swedish Issaquah | $1,727 – $2,072 | — | — |
| Swedish Medical Center | $1,727 – $2,072 | — | — |
| Swedish Medical Center / Cherry Hill | $1,727 – $2,072 | — | — |
| Tacoma General Allenmore Hospital | $1,692 – $1,862 | — | — |
| University of Washington Medical Ctr | $1,727 – $1,900 | $2,669 | $3,814 |
| Virginia Mason Medical Center | $1,185 – $1,778 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,692 – $1,895 | — | — |
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)