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
$79
Median
$75
High
$1.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
671 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.
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797 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 2 | $91 | $129 | $110 | 86% | 8–80 | $18 – $371 |
| 2 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $63 | $65 | $7 | 10% | 4–40 | $57 – $77 |
| 3 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 5 | $62 | $67 | $10 | 15% | 3–30 | $62 – $88 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 5 | Mount Carmel Grove City Grove City, OH facility · per diem · outpatient | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $36 | $39 | $6 | 16% | 1–10 | $33 – $49 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 9 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $38 | $38 | $1 | 2% | — | $36 – $38 |
| 10 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 8 | $57 | $58 | $16 | 27% | — | $36 – $76 |
| 11 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $83 | $83 | $1 | 1% | — | $82 – $84 |
| 12 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 4 | $95 | $88 | $27 | 30% | — | $45 – $130 |
| 13 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $48 | $51 | $19 | 37% | — | $28 – $80 |
| 14 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $48 | $52 | $26 | 50% | — | $23 – $90 |
| 15 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 16 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 17 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 18 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 19 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $104 | $104 | — | — | — | $104 – $104 |
| 21 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 23 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 24 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 25 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $98 | $98 | $0 | 0% | — | $98 – $98 |
← Payers reporting HCPCS L8015 · Snapshot 20261111T120946Z-9134e7f7