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.
Generation details were not recorded for this description.
Original text from hospital filings
BREAST PROSTHESIS, MASTECTOMY BRA, WITHOUT INTEGRATED BREAST PROSTHESIS FORM, ANY SIZE, ANY TYPE
Low
$53
Average
$96
Median
$74
High
$241
Each hospital's average Medcost rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 2.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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35 hospital rates
iThe hospitals that file a Medcost rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 3 | $72 | $70 | $5 | 7% | — | $63 – $74 |
| 2 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 3 | $70 | $70 | $2 | 3% | — | $67 – $73 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $53 | $1 | 2% | — | $52 – $55 |
| 5 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Duke Regional Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 8 | Duke University Hospital Durham, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Duke University Hospital Durham, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 12 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 14 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 3 | $262 | $241 | $39 | 16% | — | $183 – $279 |
| 15 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 3 | $262 | $241 | $39 | 16% | — | $183 – $279 |
| 16 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 3 | $262 | $241 | $39 | 16% | — | $183 – $279 |
| 17 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 3 | $81 | $76 | $6 | 8% | — | $67 – $81 |
| 18 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 3 | $120 | $131 | $37 | 28% | — | $93 – $180 |
| 19 | MISSION HOSPITAL MCDOWELL Marion, NC percent of total billed charges · outpatientfrom % of charges | 3 | $113 | $139 | $43 | 31% | — | $104 – $200 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $66 | $67 | $1 | 2% | — | $66 – $69 |
| 21 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $77 | $102 | $45 | 44% | — | $75 – $198 |
| 22 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $86 | $2 | 2% | — | $85 – $89 |
| 23 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $69 | $27 | 39% | — | $46 – $120 |
| 24 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $69 | $27 | 39% | — | $46 – $120 |
| 25 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $62 | $25 | 40% | — | $45 – $120 |
← Payers reporting HCPCS L8000 · Snapshot 20261111T120946Z-9134e7f7