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 acrylic
Cypress, TX
See all hospitals reporting HCPCS L7404 →Price type
Houston Methodist Cypress Hospital’s median price of $722 is 3% above the median hospital's median price ($701), higher than 64% of the 822 hospitals reporting HCPCS L7404. 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 | $688 | $688 | — | — | — | $688 – $688 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $698 | $698 | — | — | — | $698 – $698 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $702 | $702 | — | — | — | $702 – $702 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $709 | $709 | — | — | — | $709 – $709 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $736 | $736 | — | — | — | $736 – $736 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Molina exchange fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Apr 1, 2026
See Upper arm prosthesis addition, acrylic, above-elbow pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.