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 s/d ultlite mat
Boulder, CO
See all hospitals reporting HCPCS L7402 →Price type
Boulder Community Health’s median price of $397 is 15% below the median hospital's median price ($468), higher than 6% of the 819 hospitals reporting HCPCS L7402. 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 | $226 | $226 | — | — | — | $226 – $226 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $277 | $277 | — | — | — | $277 – $277 |
| 3 | Aetna commercial professional · fee schedule · both | $326 | $326 | $99 | 31% | — | $226 – $425 |
| 4 | Anthem commercial professional · fee schedule · both | $344 | $344 | — | — | — | $344 – $344 |
| 5 | Anthem managed care professional · fee schedule · both | $344 | $344 | — | — | — | $344 – $344 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $415 | $415 | $46 | 11% | — | $369 – $461 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 9 | Humana medicare advantage professional · fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $473 | $473 | $2 | 0% | — | $470 – $475 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $475 | $475 | — | — | — | $475 – $475 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $498 | $498 | — | — | — | $498 – $498 |
| 15 | Kaiser commercial professional · fee schedule · both | $590 | $590 | — | — | — | $590 – $590 |
| 16 | MultiPlan commercial professional · fee schedule · both | $710 | $710 | — | — | — | $710 – $710 |
| 17 | Phcs commercial professional · fee schedule · both | $710 | $710 | — | — | — | $710 – $710 |
| 18 | Kaiser commercial facility · case rate · outpatient | $1.0k | $1.0k | $122 | 12% | — | $885 – $1.1k |
| 19 | Kaiser managed care facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Sep 16, 2026
See Ultralight shoulder prosthesis add-on part pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.