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 BE ACRYLIC
Hackensack, NJ
See all hospitals reporting HCPCS L7403 →Price type
Hmh Hospitals Corporation’s median price of $384 is 17% below the median hospital's median price ($465), higher than 8% of the 826 hospitals reporting HCPCS L7403. 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 | $99 | $99 | — | — | — | $99 – $99 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 4 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $269 | $269 | — | — | — | $269 – $269 |
| 5 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 6 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $292 | $292 | — | — | — | $292 – $292 |
| 7 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 8 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $438 | $438 | — | — | — | $438 – $438 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $466 | $466 | — | — | — | $466 – $466 |
Last updated: Dec 31, 2025
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