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
Devils Lake, ND
See all hospitals reporting HCPCS L8002 →Price type
Altru Hospital Devils Lake’s median price of $205 is 1% below the median hospital's median price ($208), higher than 43% of the 859 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: 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 | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $281 | $281 | $41 | 15% | — | $240 – $322 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $293 | $293 | $77 | 26% | — | $216 – $370 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
Last updated: Mar 1, 2026
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