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
HC Prosthesis Breast Silicone/Equal W/O Adhesive Restricted Non-Mm Supply
Dublin, OH
See all hospitals reporting HCPCS L8030 →Price type
Mount Carmel Dublin’s median price of $245 is 43% below the median hospital's median price ($428), higher than 5% of the 936 hospitals reporting HCPCS L8030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 26 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 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 3 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
| 4 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $258 | $258 | — | — | — | $258 – $258 |
| 5 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 6 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 7 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 8 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 9 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 10 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $294 | $294 | — | — | — | $294 – $294 |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 12 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 13 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 14 | Aetna aetna medicare advantage facility · fee schedule · both | $422 | $422 | — | — | — | $422 – $422 |
| 15 | Anthem anthem bcbs medicare advantage facility · fee schedule · both | $422 | $422 | — | — | — | $422 – $422 |
| 16 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $430 | $430 | — | — | — | $430 – $430 |
| 17 | Medical Mutual medical mutual medicare advantage facility · fee schedule · both | $430 | $430 | — | — | — | $430 – $430 |
| 18 | Aetna aetna better health medicare advantage facility · fee schedule · both | $443 | $443 | — | — | — | $443 – $443 |
| 19 | Molina molina medicare advantage facility · fee schedule · both | $443 | $443 | — | — | — | $443 – $443 |
| 20 | Caresource caresource medicare advantage facility · fee schedule · both | $443 | $443 | — | — | — | $443 – $443 |
| 21 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 22 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 23 | Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges | $525 | $525 | — | — | — | $525 – $525 |
| 24 | Medical Mutual medical mutual medflex facility · fee schedule · both | $784 | $784 | — | — | — | $784 – $784 |
| 25 | Medical Mutual medical mutual supermed ppo pos hmo facility · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 31, 2026
See Silicone breast prosthesis without adhesive pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.