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
Salem, OR
See all hospitals reporting HCPCS L7402 →Price type
Salem Hospital’s median price of $695 is 48% above the median hospital's median price ($468), higher than 90% 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: 2 payers, 4 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 medicare managed care plan fee schedule · outpatient | $472 | $472 | — | — | — | $472 – $472 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $490 | $490 | — | — | — | $490 – $490 |
| 3 | Kaiser oebb other commercial plan fee schedule · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 4 | Kaiser all commercial plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Apr 1, 2026
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