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 sleeve
Low
$14
Average
$155
Median
$35
High
$1.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 31.1× 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.
Filter by billing methodology
Filter by billing class
61 hospital rates
iThe hospitals that file a Aetna 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $224 | $202 | $92 | 46% | — | $40 – $287 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $35 | $35 | $0 | 1% | — | $35 – $35 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 7 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · inpatient | 3 | $90 | $90 | — | — | — | $90 – $90 |
| 8 | CHI St. Vincent Hospital Hot Springs Hot Springs, AR fee schedule · outpatient | 3 | $90 | $90 | — | — | — | $90 – $90 |
| 9 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $35 | $35 | $0 | 1% | — | $35 – $35 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $732 | $732 | $325 | 44% | — | $407 – $1.1k |
| 15 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 16 | Covenant Medical Center Lubbock, TX fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 17 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 19 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 20 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 21 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 22 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO percent of total billed charges · outpatientfrom % of charges | 6 | $937 | $1.0k | $229 | 23% | — | $778 – $1.4k |
| 25 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
← Payers reporting HCPCS L8010 · Snapshot 20261112T181611Z-3fa9fb76