Mastectomy bra with breast form at Orthocolorado, Llc

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

HC BREAST PROSTH EXT W/MAST FORM

Lakewood, CO

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Pricing by billing methodology

Price type

How this price compares nationally

Orthocolorado, Llc’s median price of $39 is 49% below the median hospital's median price ($76), higher than 3% of the 976 hospitals reporting HCPCS L8015. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8015 at Orthocolorado, Llc

Negotiated rates from the hospital’s own file: 10 payers, 27 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	Kaiser commercial hmo percent of total billed charges · inpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
2	Cigna commercial local plus percent of total billed charges · inpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
3	Cigna commercial local plus percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
4	Cigna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
5	Cigna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
6	Aetna commercial whole health percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
7	Anthem commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
8	Aetna commercial whole health percent of total billed charges · inpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
9	Kaiser commercial hmo percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
10	UnitedHealthcare commercial navigate epo percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
11	Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges	$41	$41	$2	4%	—	$39 – $42
12	Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges	$43	$43	$0	1%	—	$42 – $43
13	MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
14	MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
15	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
16	UnitedHealthcare commercial select epo percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
17	Aetna managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
18	Anthem managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
19	Cigna managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
20	Devoted managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
21	Humana managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
22	Kaiser managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
23	Medicare medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
24	Optum managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
25	UnitedHealthcare managed medicare fee schedule · outpatient	$72	$72	—	—	—	$72 – $72

Page 1 of 2 · 27 rates

Last updated: Feb 4, 2026

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