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
$46
Average
$130
Median
$98
High
$819
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 2.9× 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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45 hospital rates
iThe hospitals that file a Phcs 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 Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $355 | $357 | $108 | 30% | — | $208 – $583 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $292 | $293 | $89 | 30% | — | $171 – $479 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $262 | $263 | $80 | 30% | — | $153 – $429 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $140 | $42 | 30% | — | $81 – $228 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $262 | $263 | $80 | 30% | — | $153 – $429 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 7 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $104 | $107 | $6 | 5% | — | $103 – $115 |
| 8 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 1 | $819 | $819 | — | — | — | $819 – $819 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $92 | $5 | 5% | — | $88 – $98 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $56 | $3 | 5% | — | $54 – $60 |
| 11 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $76 | $4 | 5% | — | $73 – $81 |
| 12 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $84 | $87 | $4 | 5% | — | $83 – $93 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $95 | $98 | $5 | 5% | — | $94 – $105 |
| 14 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $96 | $98 | $9 | 9% | — | $90 – $112 |
| 15 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $96 | $98 | $9 | 9% | — | $90 – $112 |
| 16 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $96 | $98 | $9 | 9% | — | $90 – $112 |
| 17 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $91 | $94 | $5 | 5% | — | $90 – $101 |
| 18 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $96 | $98 | $9 | 9% | — | $90 – $112 |
| 19 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 20 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 21 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 22 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 23 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 24 | PIEDMONT MCDUFFIE HOSPITAL Thomson, GA percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 25 | Piedmont Athens Regional Athens, GA percent of total billed charges · bothfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
← Payers reporting HCPCS L8015 · Snapshot 20261111T120946Z-9134e7f7