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 prosthesis bra & form
Boulder, CO
See all hospitals reporting HCPCS L8001 →Price type
Boulder Community Health’s median price of $134 is 15% below the median hospital's median price ($158), higher than 8% of the 881 hospitals reporting HCPCS L8001. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage professional · fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Aetna commercial professional · fee schedule · both | $110 | $110 | $34 | 31% | — | $77 – $144 |
| 4 | Anthem commercial professional · fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 5 | Anthem managed care professional · fee schedule · both | $117 | $117 | — | — | — | $117 – $117 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $141 | $141 | $16 | 11% | — | $125 – $156 |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 9 | Humana medicare advantage professional · fee schedule · both | $156 | $156 | — | — | — | $156 – $156 |
| 10 | Humana medicare advantage facility · case rate · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $160 | $160 | $1 | 0% | — | $159 – $161 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 15 | Kaiser commercial professional · fee schedule · both | $200 | $200 | — | — | — | $200 – $200 |
| 16 | MultiPlan commercial professional · fee schedule · both | $240 | $240 | — | — | — | $240 – $240 |
| 17 | Phcs commercial professional · fee schedule · both | $240 | $240 | — | — | — | $240 – $240 |
| 18 | Kaiser commercial facility · case rate · outpatient | $341 | $341 | $41 | 12% | — | $299 – $382 |
| 19 | Kaiser managed care facility · case rate · outpatient | $378 | $378 | — | — | — | $378 – $378 |
Last updated: Sep 16, 2026
See Mastectomy bra with built-in breast form pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.