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 a/e ultlite mat
Grayling, MI
See all hospitals reporting HCPCS L7401 →Price type
Munson Healthcare Grayling’s median price of $503 is 16% above the median hospital's median price ($433), higher than 80% of the 821 hospitals reporting HCPCS L7401. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commercial professional · fee schedule · both | $198 | $198 | — | — | — | $198 – $198 |
| 2 | Aetna commercial professional · fee schedule · both | $260 | $260 | — | — | — | $260 – $260 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $269 | $269 | — | — | — | $269 – $269 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $476 | $476 | — | — | — | $476 – $476 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $503 | $503 | — | — | — | $503 – $503 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $503 | $503 | — | — | — | $503 – $503 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $503 | $503 | — | — | — | $503 – $503 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $503 | $503 | — | — | — | $503 – $503 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $544 | $544 | — | — | — | $544 – $544 |
Last updated: Apr 17, 2026
See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.