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
$18
Average
$60
Median
$60
High
$102
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
105 hospitals; the 90th percentile is 2.8× 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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107 hospital rates
iThe hospitals that file a Oscar 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 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $31 | $5 | 15% | 5–50 | $28 – $41 |
| 2 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $32 | $5 | 16% | 4–40 | $28 – $41 |
| 3 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 4 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 7 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 9 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 10 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 11 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 12 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 13 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 14 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 16 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | $1 | 2% | — | $25 – $27 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $26 | $1 | 2% | — | $25 – $27 |
| 20 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $30 | $1 | 2% | — | $29 – $31 |
| 21 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $33 | $1 | 2% | — | $32 – $34 |
| 22 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 23 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 24 | HCA FLORIDA JFK HOSPITAL ATLANTIS, FL fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 25 | HCA FLORIDA JFK NORTH HOSPITAL West Palm Beach, FL fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
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