HCPCS L8415

Prosthetic sheath, upper limb, each

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 L8415 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$28.64 – $22216 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$39.78 – $1389 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$53.17 – $66.462 plans$40.08 – $40.70$57.26 – $58.15
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$50.14 – $93.345 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$28.64 – $2447 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$27.84 – $14417 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$27.84 – $14417 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$32.32 – $14412 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$31.82 – $13810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$30.49 – $91.4710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$51.49 – $1109 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$56.16 – $1245 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$39.88 – $77.097 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$28.25 – $1098 plans——
Seattle Children's HospitalSeattle$44.93 – $79.8798 plans$83.20$83.20
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$49.84 – $1227 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$49.84 – $73.777 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$49.84 – $1199 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$49.84 – $1199 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$27.84 – $14417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$53.17 – $1045 plans$52.68$75.25
Virginia Mason Medical CenterSeattle$31.82 – $1167 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$83.861 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$28.64 – $86.2113 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
$33.23 (fee)