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
Bartow, FL
See all hospitals reporting HCPCS L8002 →Price type
Bartow Regional Medical Center’s median price of $230 is 11% above the median hospital's median price ($208), higher than 78% of the 863 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: 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 | $194 | $194 | — | — | — | $194 – $194 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 5 | Aetna medicare hmo facility · fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 6 | Cigna medicare hmo facility · fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 8 | WellCare medicare hmo facility · fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 9 | Ambetter commercial select core facility · fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
| 10 | Ambetter commercial value facility · fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
Last updated: Jan 1, 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.