Mastectomy bra with built-in breast forms, both sides at MultiCare Deaconess Hospital

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

Spokane, WA

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How this price compares nationally

MultiCare Deaconess Hospital’s median price of $237 is 14% above the median hospital's median price ($208), higher than 79% 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 Deaconess Hospital

Negotiated rates from the hospital’s own file: 10 payers, 14 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	Aetna medadvantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
2	Bcbs Id medadvantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
3	Regence medadvantage fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
4	UnitedHealthcare medadvantage fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
5	Molina medadvantage fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
6	WellCare medadvantage fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
7	Premera other commercial plans fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
8	Premera prime fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
9	Premera signature fee schedule · outpatient	$237	$237	—	—	—	$237 – $237
10	Cigna commercial fee schedule · outpatient	$272	$272	—	—	—	$272 – $272
11	Premera hmo fee schedule · outpatient	$296	$296	—	—	—	$296 – $296
12	Ambetter coordinated care exchange fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
13	Aetna all commercial plans fee schedule · outpatient	$601	$601	—	—	—	$601 – $601
14	Kaiser ppo fee schedule · outpatient	$825	$825	—	—	—	$825 – $825

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.