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 prosthes w/o adhesive
Devils Lake, ND
See all hospitals reporting HCPCS L8030 →Price type
Altru Hospital Devils Lake’s median price of $436 is 2% above the median hospital's median price ($428), higher than 59% of the 936 hospitals reporting HCPCS L8030. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $259 | $259 | — | — | — | $259 – $259 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $422 | $422 | — | — | — | $422 – $422 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $596 | $596 | $87 | 15% | — | $509 – $683 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $621 | $621 | $163 | 26% | — | $458 – $784 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $853 | $853 | — | — | — | $853 – $853 |
Last updated: Mar 1, 2026
See Silicone breast prosthesis without adhesive pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.