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 s/d ultlite mat
Cypress, TX
See all hospitals reporting HCPCS L7402 →Price type
Houston Methodist Cypress Hospital’s median price of $482 is 3% above the median hospital's median price ($468), higher than 60% of the 819 hospitals reporting HCPCS L7402. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare managed care - hmo fee schedule · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $472 | $472 | — | — | — | $472 – $472 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $482 | $482 | — | — | — | $482 – $482 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $894 | $894 | — | — | — | $894 – $894 |
| 8 | Molina exchange fee schedule · outpatient | $917 | $917 | — | — | — | $917 – $917 |
Last updated: Apr 1, 2026
See Ultralight shoulder prosthesis add-on part pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.