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
Add UE prost be/wd, ultlite
Grayling, MI
See all hospitals reporting HCPCS L7400 →Price type
Munson Healthcare Grayling’s median price of $450 is 16% above the median hospital's median price ($387), higher than 80% of the 825 hospitals reporting HCPCS L7400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 2 | Aetna commercial professional · fee schedule · both | $232 | $232 | — | — | — | $232 – $232 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $240 | $240 | — | — | — | $240 – $240 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $485 | $485 | — | — | — | $485 – $485 |
Last updated: Apr 17, 2026
See Lightweight upper arm prosthesis addition (below elbow) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.