HCPCS Code: L5961
Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$4,560.00) after the $283 annual deductible. Your 20% coinsurance: ~$1,140.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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Medicare Part B leaves you paying 20% out of pocket. Medicare Supplement (Medigap) plans can cover your coinsurance, deductibles, and more — potentially saving you thousands per year.
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About Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961)
HCPCS code L5961 is the Medicare and insurance billing code for Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Prosthetic devices replace missing limbs or body parts, restoring function and improving quality of life after amputation. Modern prosthetics range from basic cosmetic devices to advanced microprocessor-controlled limbs with natural movement patterns.
Many patients find that purchasing DME items like endo prosthetic hip with pneumatic, hydraulic, and rotational features (l5961) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code L5961?
HCPCS code L5961 is the Medicare and insurance billing code for Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961) cost?
The typical private insurance price for Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961) is $11,400.00. If paying cash without insurance, expect to pay around $20,050.00. The estimated Medicare Allowed Amount is $5,700.00. The same or equivalent product is available on Amazon for approximately $6,015.00.
How much does Medicare pay for Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961)?
The estimated Medicare Allowed Amount for Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961) is $5,700.00. Under Original Medicare Part B, Medicare covers 80% (approximately $4,560.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $1,140.00. Medicare Advantage plan costs vary.
Can I buy Endo Prosthetic Hip with Pneumatic, Hydraulic, and Rotational Features (L5961) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code L5961 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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Search EquipmentPrices are estimates and may vary. We earn commissions as an Amazon Associate and through Medicare insurance referrals. Actual prices may vary based on inventory and promotions.