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
Brst prsth bra & bilat form
Ottawa, KS
See all hospitals reporting HCPCS L8002 →Price type
Adventhealth Ottawa’s median price of $327 is 57% above the median hospital's median price ($208), higher than 94% of the 863 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 2 | Oscar individual plan hmo fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 3 | Blue Cross Blue Shield blue choice ppo fee schedule · outpatient | $412 | $412 | — | — | — | $412 – $412 |
Last updated: Apr 1, 2026
See Mastectomy bra with built-in breast forms, both sides pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.