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
Add ue prost a/e ultlite mat
Cypress, TX
See all hospitals reporting HCPCS L7401 →Price type
Houston Methodist Cypress Hospital’s median price of $446 is 3% above the median hospital's median price ($433), higher than 63% 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: 7 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 medicare managed care - hmo fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 8 | Molina exchange fee schedule · outpatient | $850 | $850 | — | — | — | $850 – $850 |
Last updated: Apr 1, 2026
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.