Mastectomy bra with built-in breast forms, both sides at Northside Hospital, Inc.

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

MASTECTOMY BRA W/INTG FORM BILAT

Duluth, GA

See all hospitals reporting HCPCS L8002 →

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $197 is 5% below the median hospital's median price ($208), higher than 16% of the 859 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8002 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 74 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	Caresource caresource other · outpatient	$38	$38	—	—	—	$38 – $38
2	Cigna cigna healthsprings medicare advantage other · outpatient	$50	$50	—	—	—	$50 – $50
3	Blue Cross Blue Shield bcbs_pathway other · outpatient	$81	$81	—	—	—	$81 – $81
4	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$81	$81	—	—	—	$81 – $81
5	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
6	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$108	$108	—	—	—	$108 – $108
7	Blue Cross Blue Shield blue hpn other · outpatient	$125	$125	—	—	—	$125 – $125
8	Blue Cross Blue Shield blue hpn-l other · outpatient	$125	$125	—	—	—	$125 – $125
9	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
10	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
11	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
12	UnitedHealthcare uhc ga individual exchange other · outpatient	$153	$153	—	—	—	$153 – $153
13	Blue Cross Blue Shield bcbs_hmo other · outpatient	$162	$162	—	—	—	$162 – $162
14	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$162	$162	—	—	—	$162 – $162
15	UnitedHealthcare uhc hmo/pos/ppo other · outpatient	$180	$180	—	—	—	$180 – $180
16	UnitedHealthcare uhc hmo/pos/ppo-g other · outpatient	$180	$180	—	—	—	$180 – $180
17	UnitedHealthcare uhc hmo/pos/ppo-t other · outpatient	$180	$180	—	—	—	$180 – $180
18	Cigna cigna other · outpatient	$183	$183	—	—	—	$183 – $183
19	Cigna cigna-g other · outpatient	$183	$183	—	—	—	$183 – $183
20	Cigna cigna-h other · outpatient	$183	$183	—	—	—	$183 – $183
21	Cigna cigna-l other · outpatient	$183	$183	—	—	—	$183 – $183
22	Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
23	Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
24	Kaiser kaiser_hmo-bariatric percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
25	Kaiser kaiser_hmo-gcs percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189

Page 1 of 3 · 74 rates

Last updated: Feb 14, 2026

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