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
Custom breast prosthesis
Low
$2.3k
Average
$4.8k
Median
$4.2k
High
$11.0k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 3.1× 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 MultiPlan 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 5 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 6 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 9 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 11 | LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 16 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 17 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 18 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 21 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · inpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 22 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 23 | Northside Hospital, Inc. Canton, GA percent of total billed charges · inpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 24 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 25 | Ohio State University Hospitals Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
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