HCPCS L7405
Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material
Current code23 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 | $753 – $5,841 | — | — |
| Deaconess Medical Center | $1,046 – $3,636 | — | — |
| Harborview Medical Center | $1,398 – $1,747 | $1,058 – $1,070 | $1,511 – $1,529 |
| Kadlec Regional Medical Center | $1,318 – $2,454 | — | — |
| Mary Bridge Children's Hospital | $753 – $6,412 | — | — |
| MultiCare Auburn Medical Center | $732 – $3,775 | — | — |
| MultiCare Covington Medical Center | $732 – $3,775 | — | — |
| MultiCare Good Samaritan Hospital | $849 – $3,775 | — | — |
| MultiCare Valley Hospital | $836 – $3,628 | — | — |
| Overlake Hospital Medical Center & Clinics | $801 – $2,404 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,353 – $2,898 | — | — |
| Providence Centralia Hospital | $1,476 – $3,267 | — | — |
| Providence Regional Medical Center Everett | $1,048 – $2,027 | — | — |
| Providence St Peter Hospital | $743 – $2,852 | — | — |
| Swedish Edmonds Hospital | $1,310 – $3,205 | — | — |
| Swedish Issaquah | $1,310 – $1,940 | — | — |
| Swedish Medical Center | $1,310 – $3,120 | — | — |
| Swedish Medical Center / Cherry Hill | $1,310 – $3,120 | — | — |
| Tacoma General Allenmore Hospital | $732 – $3,775 | — | — |
| University of Washington Medical Ctr | $1,398 – $2,740 | $1,352 | $1,931 |
| Virginia Mason Medical Center | $836 – $3,038 | — | — |
| Wellfound Behavioral Health Hospital | $2,205 | — | — |
| Yakima Valley Memorial | $753 – $2,266 | — | — |
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
- $874 (fee)