HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Current code23 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 L6647 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$538 – $4,17216 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$747 – $2,5979 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$998 – $1,2482 plans$764$1,092
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$941 – $1,7535 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$538 – $4,5807 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$523 – $2,69617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$523 – $2,69617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$607 – $2,69612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$597 – $2,59110 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$572 – $1,71710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$967 – $2,0709 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,055 – $2,3335 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$749 – $1,4487 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$530 – $2,0378 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$936 – $2,2897 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$936 – $1,3857 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$936 – $2,2299 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$936 – $2,2299 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$523 – $2,69617 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$998 – $1,9575 plans——
Virginia Mason Medical CenterSeattle$597 – $2,1707 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,5751 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$538 – $1,61913 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
$624 (fee)