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
Arlington, TX
See all hospitals reporting HCPCS L8030 →Price type
AMH Cath Labs LLC’s median price of $429 is about the same as the median hospital's median price ($428), higher than 50% 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, 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 | $408 | $408 | — | — | — | $408 – $408 |
| 2 | Humana medicare advantage case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 4 | Molina medicare advantage case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $461 | $461 | — | — | — | $461 – $461 |
Last updated: Apr 21, 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.