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 Prosthesis Breast External Garment W/Mastectomy Form Restricted Non-Mm Supply
Low
$36
Average
$383
Median
$80
High
$7.1k
Filter by billing methodology
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. 23 hospitals; the 90th percentile is 1.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Mary Mercy Livonia Livonia, MI | $6.6k | $7.1k | $2.5k | 35% | 1–10 | $49 – $14.9k |
| 2 | Northside Hospital, Inc. Lawrenceville, GA | $72 | $61 | $30 | 49% | — | $20 – $133 |
| 3 | Northside Hospital, Inc. Canton, GA | $74 | $61 | $31 | 51% | — | $15 – $133 |
| 4 | Northside Hospital, Inc. Atlanta, GA | $74 | $62 | $29 | 46% | — | $22 – $133 |
| 5 | Northside Hospital, Inc. Duluth, GA | $72 | $60 | $31 | 52% | — | $17 – $133 |
| 6 | Northside Hospital, Inc. Cumming, GA | $74 | $61 | $31 | 51% | — | $16 – $133 |
| 7 | Nationwide Children's Hospital Columbus, OH | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $36 | $36 | $0 | 0% | — | $36 – $36 |
| 9 | Baptist Healthcare System Inc. Louisville, KY | $74 | $96 | $32 | 34% | — | $24 – $548 |
| 10 | Baptist Healthcare System Inc Lexington, KY | $74 | $97 | $34 | 35% | — | $20 – $527 |
Ask Claude or any MCP client for HCPCS L8015 pricing at a specific hospital — see how to connect.