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
BREAST PROSTHESIS, SILICONE OR EQUAL, WITHOUT INTEGRAL ADHESIVE
Low
$273
Average
$593
Median
$691
High
$852
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
31 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.
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36 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 3 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 5 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 6 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 7 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 8 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 9 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $273 | $273 | $39 | 14% | — | $234 – $312 |
| 10 | Mount Carmel Dublin Dublin, OH facility · fee schedule · both | 3 | $784 | $783 | $288 | 37% | — | $430 – $1.1k |
| 11 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 3 | $784 | $768 | $269 | 35% | — | $430 – $1.1k |
| 12 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · outpatient | 3 | $784 | $768 | $269 | 35% | — | $430 – $1.1k |
| 13 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 14 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 3 | $784 | $783 | $288 | 37% | — | $430 – $1.1k |
| 15 | Mount Carmel Grove City Grove City, OH facility · fee schedule · outpatient | 3 | $784 | $783 | $288 | 37% | — | $430 – $1.1k |
| 16 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 17 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 3 | $784 | $783 | $288 | 37% | — | $430 – $1.1k |
| 18 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 19 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 1 | $711 | $711 | — | — | — | $711 – $711 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $852 | $852 | — | — | — | $852 – $852 |
| 21 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 22 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 23 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 24 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $430 | $430 | — | — | — | $430 – $430 |
| 25 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $430 | $430 | — | — | — | $430 – $430 |
← Payers reporting HCPCS L8030 · Snapshot 20261111T120946Z-9134e7f7