HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, 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 L8417 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$77.89 – $60416 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$108 – $3769 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$145 – $1812 plans$109 – $111$156 – $158
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$136 – $2545 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$77.89 – $6637 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$75.72 – $39117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$75.72 – $39117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$87.86 – $39112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$86.54 – $37510 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$82.89 – $24910 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$140 – $3009 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$153 – $3385 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$108 – $2107 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$76.83 – $2958 plans——
Seattle Children's HospitalSeattle$148 – $50398 plans$274 – $524$274 – $524
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$136 – $3327 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$136 – $2017 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$136 – $3239 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$136 – $3239 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$75.72 – $39117 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$145 – $2835 plans$140$201
Virginia Mason Medical CenterSeattle$86.54 – $3147 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2281 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$77.89 – $23413 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
$90.39 (fee)