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
Add ue prost a/e ultlite mat
Devils Lake, ND
See all hospitals reporting HCPCS L7401 →Price type
Altru Hospital Devils Lake’s median price of $427 is 1% below the median hospital's median price ($433), higher than 42% of the 817 hospitals reporting HCPCS L7401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $584 | $584 | $85 | 15% | — | $499 – $670 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $609 | $609 | $160 | 26% | — | $449 – $769 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $836 | $836 | — | — | — | $836 – $836 |
Last updated: Mar 1, 2026
See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.