Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC-Add Upper Ext Prosth Shoul Disart Ultralight
Prices here combine facility and professional fees. See them separately →Experimental
Low
$178
Average
$330
Median
$178
High
$633
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University Of Michigan Health Ann Arbor, MI | $656 | $633 | $138 | 22% | — | $403 – $996 |
| 2 | Covenant Medical Center Inc Saginaw, MI | $155 | $178 | $45 | 25% | — | $127 – $254 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $155 | $178 | $45 | 25% | — | $127 – $254 |
Ask Claude or any MCP client for HCPCS L7402 pricing at a specific hospital — see how to connect.