HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

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 L6641 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$181 – $1,40616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$252 – $8759 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$336 – $4202 plans$258$368
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$317 – $5915 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$181 – $1,5437 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$176 – $90817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$176 – $90817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$204 – $90812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$201 – $87310 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$193 – $57810 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$326 – $6979 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$355 – $7865 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$252 – $4887 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$179 – $6868 plans——
Seattle Children's HospitalSeattle$439 – $78198 plans$814$814
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$315 – $7717 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$315 – $4677 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$315 – $7519 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$315 – $7519 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$176 – $90817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$336 – $6595 plans——
Virginia Mason Medical CenterSeattle$201 – $7317 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5311 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$181 – $54513 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
$210 (fee)