Mastectomy bra with built-in breast forms, both sides at Boulder Community Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Brst prsth bra & bilat form

Boulder, CO

See all hospitals reporting HCPCS L8002 →

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $177 is 15% below the median hospital's median price ($208), higher than 8% of the 863 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8002 at Boulder Community Health

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	$101	$101	—	—	—	$101 – $101
2	UnitedHealthcare commercial professional · fee schedule · both	$123	$123	—	—	—	$123 – $123
3	Aetna commercial professional · fee schedule · both	$145	$145	$44	31%	—	$101 – $189
4	Anthem commercial professional · fee schedule · both	$153	$153	—	—	—	$153 – $153
5	Anthem managed care professional · fee schedule · both	$153	$153	—	—	—	$153 – $153
6	UnitedHealthcare medicare advantage professional · fee schedule · both	$185	$185	$21	11%	—	$164 – $205
7	Aetna medicare advantage facility · case rate · outpatient	$205	$205	—	—	—	$205 – $205
8	Anthem medicare advantage facility · case rate · outpatient	$205	$205	—	—	—	$205 – $205
9	Humana medicare advantage professional · fee schedule · both	$205	$205	—	—	—	$205 – $205
10	Humana medicare advantage facility · case rate · outpatient	$210	$210	—	—	—	$210 – $210
11	UnitedHealthcare medicare advantage facility · case rate · outpatient	$210	$210	—	—	—	$210 – $210
12	Kaiser medicare advantage facility · case rate · outpatient	$211	$211	$1	0%	—	$210 – $212
13	Devoted medicare advantage facility · case rate · outpatient	$212	$212	—	—	—	$212 – $212
14	Kaiser medicare advantage professional · fee schedule · both	$222	$222	—	—	—	$222 – $222
15	Kaiser commercial professional · fee schedule · both	$263	$263	—	—	—	$263 – $263
16	MultiPlan commercial professional · fee schedule · both	$316	$316	—	—	—	$316 – $316
17	Phcs commercial professional · fee schedule · both	$316	$316	—	—	—	$316 – $316
18	Kaiser commercial facility · case rate · outpatient	$448	$448	$54	12%	—	$394 – $502
19	Kaiser managed care facility · case rate · outpatient	$498	$498	—	—	—	$498 – $498

Last updated: Sep 16, 2026

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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.