Mastectomy bra with built-in breast forms, both sides at Central Georgia Rehabilitation LLC

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

Macon, GA

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $204 is 2% below the median hospital's median price ($208), higher than 42% 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 Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 7 payers, 9 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 fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
2	Anthem medicare advantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
3	Humana medicare advantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
4	UnitedHealthcare medicare advantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
5	Caresource medicare advantage fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
6	Clover medicare advantage fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
7	Kaiser commercial fee schedule · both	$223	$223	—	—	—	$223 – $223
8	Humana hmo/pos fee schedule · both	$288	$288	—	—	—	$288 – $288
9	Humana ppo fee schedule · both	$288	$288	—	—	—	$288 – $288

Last updated: Nov 19, 2025

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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.