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 b/e acrylic
Cypress, TX
See all hospitals reporting HCPCS L7403 →Price type
Houston Methodist Cypress Hospital’s median price of $479 is 3% above the median hospital's median price ($465), higher than 63% 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: 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 | $456 | $456 | — | — | — | $456 – $456 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $463 | $463 | — | — | — | $463 – $463 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $465 | $465 | — | — | — | $465 – $465 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $479 | $479 | — | — | — | $479 – $479 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $889 | $889 | — | — | — | $889 – $889 |
| 8 | Molina exchange fee schedule · outpatient | $912 | $912 | — | — | — | $912 – $912 |
Last updated: Apr 1, 2026
See Below-elbow prosthesis add-on, acrylic material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.