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
Brst prsth bra & bilat form
Duluth, MN
See all hospitals reporting HCPCS L8002 →Price type
Essentia Health Duluth’s median price of $199 is 4% below the median hospital's median price ($208), higher than 21% of the 859 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 8 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 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 2 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Healthpartners medicare facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Medica medicare facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 5 | Sanford Health Plan commercia-ndpers facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 6 | Sanford Health Plan commercial facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 7 | Ucare medicare facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
Last updated: Jan 1, 2026
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.