HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L5795 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,133 – $8,78916 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,573 – $5,4719 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,103 – $2,6292 plans$1,610$2,300
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,982 – $3,6925 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,133 – $9,6477 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,101 – $5,67917 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,101 – $5,67917 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,278 – $5,67912 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,258 – $5,45810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,205 – $3,61610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,036 – $4,3619 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,221 – $4,9155 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,577 – $3,0507 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,117 – $4,2928 plans——
Seattle Children's HospitalSeattle$1,985 – $3,53098 plans$3,677$3,677
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,972 – $4,8227 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,972 – $2,9187 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,972 – $4,6959 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,972 – $4,6959 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,101 – $5,67917 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,103 – $4,1225 plans$2,031$2,901
Virginia Mason Medical CenterSeattle$1,258 – $4,5717 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,3171 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,133 – $3,41013 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$1,314 (fee)