HCPCS L8417
Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
Current code24 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $88.58 – $97.44 | — | — |
| Deaconess Medical Center | $88.58 – $97.44 | — | — |
| Harborview Medical Center | $90.39 – $99.43 | $109 – $111 | $156 – $158 |
| Kadlec Regional Medical Center | $90.39 – $108 | — | — |
| Mary Bridge Children's Hospital | $88.58 – $97.44 | — | — |
| MultiCare Auburn Medical Center | $88.58 – $97.44 | — | — |
| MultiCare Covington Medical Center | $88.58 – $97.44 | — | — |
| MultiCare Good Samaritan Hospital | $88.58 – $97.44 | — | — |
| MultiCare Valley Hospital | $91.24 – $97.44 | — | — |
| Overlake Hospital Medical Center & Clinics | $90.39 – $94.01 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $90.39 – $108 | — | — |
| Providence Centralia Hospital | $90.39 – $145 | — | — |
| Providence Regional Medical Center Everett | $90.39 – $99.43 | — | — |
| Providence St Peter Hospital | $90.39 – $145 | — | — |
| Seattle Children's Hospital | — | $274 – $524 | $274 – $524 |
| Swedish Edmonds Hospital | $90.39 – $108 | — | — |
| Swedish Issaquah | $90.39 – $108 | — | — |
| Swedish Medical Center | $90.39 – $108 | — | — |
| Swedish Medical Center / Cherry Hill | $90.39 – $108 | — | — |
| Tacoma General Allenmore Hospital | $88.58 – $97.44 | — | — |
| University of Washington Medical Ctr | $90.39 – $99.43 | $140 | $201 |
| Virginia Mason Medical Center | $62.03 – $93.05 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $88.58 – $99.21 | — | — |
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)