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 ultlite mat
Boulder, CO
See all hospitals reporting HCPCS L7401 →Price type
Boulder Community Health’s median price of $368 is 15% below the median hospital's median price ($433), higher than 9% of the 821 hospitals reporting HCPCS L7401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | Aetna medicare advantage professional · fee schedule · both | $209 | $209 | — | — | — | $209 – $209 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $256 | $256 | — | — | — | $256 – $256 |
| 3 | Aetna commercial professional · fee schedule · both | $302 | $302 | $92 | 31% | — | $209 – $394 |
| 4 | Anthem commercial professional · fee schedule · both | $319 | $319 | — | — | — | $319 – $319 |
| 5 | Anthem managed care professional · fee schedule · both | $319 | $319 | — | — | — | $319 – $319 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $384 | $384 | $43 | 11% | — | $342 – $427 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $427 | $427 | — | — | — | $427 – $427 |
| 9 | Humana medicare advantage professional · fee schedule · both | $427 | $427 | — | — | — | $427 – $427 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $438 | $438 | $2 | 0% | — | $436 – $440 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 15 | Kaiser commercial professional · fee schedule · both | $547 | $547 | — | — | — | $547 – $547 |
| 16 | MultiPlan commercial professional · fee schedule · both | $657 | $657 | — | — | — | $657 – $657 |
| 17 | Phcs commercial professional · fee schedule · both | $657 | $657 | — | — | — | $657 – $657 |
| 18 | Kaiser commercial facility · case rate · outpatient | $932 | $932 | $113 | 12% | — | $819 – $1.0k |
| 19 | Kaiser managed care facility · case rate · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Sep 16, 2026
See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.