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
MASTECTOMY BRA W/INTG FORM RT
Low
$67
Average
$130
Median
$109
High
$214
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 1.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northside Hospital, Inc. Lawrenceville, GA | $126 | $108 | $52 | 48% | — | $35 – $232 |
| 2 | Northside Hospital, Inc. Canton, GA | $130 | $107 | $55 | 51% | — | $26 – $232 |
| 3 | Northside Hospital, Inc. Atlanta, GA | $130 | $110 | $51 | 46% | — | $38 – $232 |
| 4 | Northside Hospital, Inc. Duluth, GA | $126 | $106 | $54 | 51% | — | $29 – $232 |
| 5 | Northside Hospital, Inc. Cumming, GA | $130 | $108 | $55 | 51% | — | $28 – $232 |
| 6 | Nationwide Children's Hospital Columbus, OH | $90 | $90 | — | — | — | $90 – $90 |
| 7 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $67 | $67 | $0 | 0% | — | $66 – $67 |
| 8 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Albuquerque, NM | $155 | $214 | $86 | 40% | — | $140 – $380 |
| 9 | Tanner Medical Center - Villa Rica Villa Rica, GA | $161 | $166 | $10 | 6% | — | $155 – $186 |
| 10 | Tanner Medical Center - Carrollton Carrollton, GA | $161 | $163 | $5 | 3% | — | $155 – $171 |
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