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
Brst prsth bra & bilat form
Cypress, TX
See all hospitals reporting HCPCS L8002 →Price type
Houston Methodist Cypress Hospital’s median price of $214 is 3% above the median hospital's median price ($208), higher than 64% of the 863 hospitals reporting HCPCS L8002. 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 | $204 | $204 | — | — | — | $204 – $204 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $214 | $214 | — | — | — | $214 – $214 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 8 | Molina exchange fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
Last updated: Apr 1, 2026
See Mastectomy bra with built-in breast forms, both sides pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.