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 s/d ultlite mat
Grayling, MI
See all hospitals reporting HCPCS L7402 →Price type
Munson Healthcare Grayling’s median price of $543 is 16% above the median hospital's median price ($468), higher than 78% of the 819 hospitals reporting HCPCS L7402. 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 | $214 | $214 | — | — | — | $214 – $214 |
| 2 | Aetna commercial professional · fee schedule · both | $281 | $281 | — | — | — | $281 – $281 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $291 | $291 | — | — | — | $291 – $291 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $514 | $514 | — | — | — | $514 – $514 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $543 | $543 | — | — | — | $543 – $543 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $543 | $543 | — | — | — | $543 – $543 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $543 | $543 | — | — | — | $543 – $543 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $543 | $543 | — | — | — | $543 – $543 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $587 | $587 | — | — | — | $587 – $587 |
Last updated: Apr 17, 2026
See Ultralight shoulder prosthesis add-on part pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.