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 a/e acrylic
Bartow, FL
See all hospitals reporting HCPCS L7404 →Price type
Bartow Regional Medical Center’s median price of $776 is 11% above the median hospital's median price ($701), higher than 77% of the 822 hospitals reporting HCPCS L7404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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 | Humana commercial other facility · fee schedule · outpatient | $654 | $654 | — | — | — | $654 – $654 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $675 | $675 | — | — | — | $675 – $675 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 5 | Aetna medicare hmo facility · fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 6 | Cigna medicare hmo facility · fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $843 | $843 | — | — | — | $843 – $843 |
| 8 | WellCare medicare hmo facility · fee schedule · outpatient | $944 | $944 | — | — | — | $944 – $944 |
| 9 | Ambetter commercial select core facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Ambetter commercial value facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jan 1, 2026
See Upper arm prosthesis addition, acrylic, above-elbow pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.