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 s/d ultlite mat
Arlington, TX
See all hospitals reporting HCPCS L7402 →Price type
AMH Cath Labs LLC’s median price of $482 is 3% above the median hospital's median price ($468), higher than 60% of the 815 hospitals reporting HCPCS L7402. 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, 8 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 2 | Humana medicare advantage case rate · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $477 | $477 | — | — | — | $477 – $477 |
| 4 | Molina medicare advantage case rate · outpatient | $482 | $482 | — | — | — | $482 – $482 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $482 | $482 | — | — | — | $482 – $482 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $505 | $505 | — | — | — | $505 – $505 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $518 | $518 | — | — | — | $518 – $518 |
Last updated: Apr 21, 2026
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