Silicone breast prosthesis with adhesive attachment 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

BREAST PROSTH W/ADHESIVE LT

Duluth, GA

See all hospitals reporting HCPCS L8031 →

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $411 is 4% below the median hospital's median price ($428), higher than 25% of the 858 hospitals reporting HCPCS L8031. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8031 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	$82	$82	—	—	—	$82 – $82
2	Cigna cigna healthsprings medicare advantage other · outpatient	$110	$110	—	—	—	$110 – $110
3	Blue Cross Blue Shield bcbs_pathway other · outpatient	$177	$177	—	—	—	$177 – $177
4	Blue Cross Blue Shield bcbs_pathway-l other · outpatient	$177	$177	—	—	—	$177 – $177
5	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$235	$235	—	—	—	$235 – $235
6	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$235	$235	—	—	—	$235 – $235
7	Blue Cross Blue Shield blue hpn other · outpatient	$273	$273	—	—	—	$273 – $273
8	Blue Cross Blue Shield blue hpn-l other · outpatient	$273	$273	—	—	—	$273 – $273
9	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$297	$297	—	—	—	$297 – $297
10	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
11	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$316	$316	—	—	—	$316 – $316
12	UnitedHealthcare uhc ga individual exchange other · outpatient	$333	$333	—	—	—	$333 – $333
13	Blue Cross Blue Shield bcbs_hmo other · outpatient	$353	$353	—	—	—	$353 – $353
14	Blue Cross Blue Shield bcbs_hmo-l other · outpatient	$353	$353	—	—	—	$353 – $353
15	UnitedHealthcare uhc hmo/pos/ppo other · outpatient	$392	$392	—	—	—	$392 – $392
16	UnitedHealthcare uhc hmo/pos/ppo-g other · outpatient	$392	$392	—	—	—	$392 – $392
17	UnitedHealthcare uhc hmo/pos/ppo-t other · outpatient	$392	$392	—	—	—	$392 – $392
18	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$397	$397	—	—	—	$397 – $397
19	Medicare medicare fee schedule · outpatient	$397	$397	—	—	—	$397 – $397
20	UnitedHealthcare uhc medicare fee schedule · outpatient	$397	$397	—	—	—	$397 – $397
21	Cigna cigna other · outpatient	$398	$398	—	—	—	$398 – $398
22	Cigna cigna-g other · outpatient	$398	$398	—	—	—	$398 – $398
23	Cigna cigna-h other · outpatient	$398	$398	—	—	—	$398 – $398
24	Cigna cigna-l other · outpatient	$398	$398	—	—	—	$398 – $398
25	Aetna aetna medicare fee schedule · outpatient	$401	$401	—	—	—	$401 – $401

Page 1 of 3 · 74 rates

Last updated: Feb 14, 2026

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