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
Breast prosthesis bra & form
Cypress, TX
See all hospitals reporting HCPCS L8001 →Price type
Houston Methodist Cypress Hospital’s median price of $163 is 3% above the median hospital's median price ($158), higher than 63% of the 881 hospitals reporting HCPCS L8001. 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 | $155 | $155 | — | — | — | $155 – $155 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 8 | Molina exchange fee schedule · outpatient | $311 | $311 | — | — | — | $311 – $311 |
Last updated: Apr 1, 2026
See Mastectomy bra with built-in breast form pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.