Mastectomy bra with built-in breast forms, both sides at MultiCare Covington Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Brst prsth bra & bilat form

Covington, WA

See all hospitals reporting HCPCS L8002 →

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Pricing by billing methodology

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How this price compares nationally

MultiCare Covington Medical Center’s median price of $209 is about the same as the median hospital's median price ($208), higher than 54% of the 863 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8002 at MultiCare Covington Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 17 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	Regence blue high performance fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
2	Regence mcc/ahn fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
3	Regence realvalue fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
4	Regence commercial fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
5	Aetna medadvantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
6	Regence medadvantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
7	UnitedHealthcare medadvantage fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
8	Molina medadvantage fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
9	WellCare medadvantage fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
10	Aetna all commercial plans fee schedule · outpatient	$260	$260	—	—	—	$260 – $260
11	Cigna all commercial plans fee schedule · outpatient	$272	$272	—	—	—	$272 – $272
12	Premera hmo fee schedule · outpatient	$296	$296	—	—	—	$296 – $296
13	Premera prime fee schedule · outpatient	$342	$342	—	—	—	$342 – $342
14	Premera signature fee schedule · outpatient	$342	$342	—	—	—	$342 – $342
15	Ambetter coordinated care exchange fee schedule · outpatient	$389	$389	—	—	—	$389 – $389
16	Premera other commercial plans fee schedule · outpatient	$418	$418	—	—	—	$418 – $418
17	Kaiser ppo fee schedule · outpatient	$857	$857	—	—	—	$857 – $857

Last updated: Aug 27, 2026

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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.