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CPT L8035

Custom breast prosthesis

Reported by 28 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$3.8k

Average

$6.2k

Median

$6.6k

High

$10.8k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$3.0k$4.3k$6.4k$15.3k$3.9k
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$4.5k$4.6k$6.8k$12.9k$3.4k
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$3.8k$4.8k$6.7k$12.9k$3.4k
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$3.8k$4.8k$6.6k$12.9k$3.3k
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$4.4k$4.6k$5.0k$10.8k$1.4k
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$4.4k$4.8k$6.8k$12.9k$3.3k
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$4.5k$7.6k$7.5k$12.3k$2.4k
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$4.4k$6.8k$7.0k$11.6k$2.8k
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$3.8k$4.6k$5.2k$10.8k$1.8k
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$4.5k$6.4k$5.6k$6.6k$1.0k
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