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
EXTERNAL BREAST PROSTHESIS GARMENT, WITH MASTECTOMY FORM, POST MASTECTOMY
Low
$1
Average
$96
Median
$73
High
$2.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
227 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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309 hospital rates
iThe hospitals that file a Anthem 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 6 | $121 | $122 | $53 | 44% | 84 | $25 – $239 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 5 | $156 | $163 | $62 | 38% | 40–400 | $54 – $303 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $273 | $273 | $22 | 8% | — | $251 – $295 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $67 | $69 | $14 | 21% | — | $48 – $94 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $57 | $57 | $21 | 37% | — | $28 – $95 |
| 7 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $53 | $55 | $12 | 22% | — | $41 – $71 |
| 8 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 10 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $314 | $314 | $239 | 76% | — | $75 – $554 |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $111 | $111 | $37 | 33% | — | $74 – $148 |
| 12 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $314 | $314 | $239 | 76% | — | $75 – $554 |
| 13 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $314 | $314 | $239 | 76% | — | $75 – $554 |
| 14 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | $0 | 0% | — | $99 – $99 |
| 15 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $76 | $82 | $13 | 15% | — | $70 – $99 |
| 16 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 17 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 3 | $117 | $126 | $19 | 15% | — | $108 – $153 |
| 18 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 19 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 3 | $117 | $126 | $19 | 15% | — | $108 – $153 |
| 20 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 21 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $117 | $126 | $19 | 15% | — | $108 – $153 |
| 22 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 23 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 3 | $68 | $73 | $11 | 15% | — | $62 – $88 |
| 24 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · inpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 25 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 3 | $117 | $126 | $19 | 15% | — | $108 – $153 |
← Payers reporting HCPCS L8015 · Snapshot 20261111T120946Z-9134e7f7