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
Arlington, TX
See all hospitals reporting HCPCS L8002 →Price type
AMH Cath Labs LLC’s median price of $214 is 3% above the median hospital's median price ($208), higher than 64% 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, 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 | $204 | $204 | — | — | — | $204 – $204 |
| 2 | Humana medicare advantage case rate · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 4 | Molina medicare advantage case rate · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $231 | $231 | — | — | — | $231 – $231 |
Last updated: Apr 21, 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.