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
Cleveland, OH
See all hospitals reporting HCPCS L8002 →Price type
Metrohealth System’s median price of $223 is 8% above the median hospital's median price ($208), higher than 75% 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: 3 payers, 4 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 | Medical Mutual cle-care hmo facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 2 | Medical Mutual all commercial plans facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 3 | Caresource exchange facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 4 | Aetna cvs exchange facility · fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
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.