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
PO-ADD UE PROST A E ULTLITE MAT
Hackensack, NJ
See all hospitals reporting HCPCS L7401 →Price type
Hmh Hospitals Corporation’s median price of $357 is 18% below the median hospital's median price ($433), higher than 8% of the 821 hospitals reporting HCPCS L7401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 11 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 4 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 5 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $271 | $271 | — | — | — | $271 – $271 |
| 6 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $271 | $271 | — | — | — | $271 – $271 |
| 7 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 8 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $358 | $358 | — | — | — | $358 – $358 |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $408 | $408 | — | — | — | $408 – $408 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $434 | $434 | — | — | — | $434 – $434 |
Last updated: Dec 31, 2025
See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.