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
Dubuque, IA
See all hospitals reporting HCPCS L7402 →Price type
The Finley Hospital’s median price of $460 is 2% below the median hospital's median price ($468), higher than 38% 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, 17 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 hmo fee schedule · both | $222 | $222 | — | — | — | $222 – $222 |
| 2 | UnitedHealthcare ppo fee schedule · both | $222 | $222 | — | — | — | $222 – $222 |
| 3 | Wellmark commercial fee schedule · both | $436 | $436 | — | — | — | $436 – $436 |
| 4 | Wellmark hmo fee schedule · both | $436 | $436 | — | — | — | $436 – $436 |
| 5 | Wellmark ppo fee schedule · both | $436 | $436 | — | — | — | $436 – $436 |
| 6 | Aetna hmo fee schedule · outpatient | $445 | $445 | — | — | — | $445 – $445 |
| 7 | Aetna ppo fee schedule · outpatient | $445 | $445 | — | — | — | $445 – $445 |
| 8 | Aetna medicare advantage case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 9 | Molina medicare advantage case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 10 | Wellmark medicare advantage case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 11 | Humana medicare advantage case rate · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $467 | $467 | — | — | — | $467 – $467 |
| 13 | Aetna hmo fee schedule · both | $498 | $498 | — | — | — | $498 – $498 |
| 14 | Aetna ppo fee schedule · both | $498 | $498 | — | — | — | $498 – $498 |
| 15 | Cigna commercial fee schedule · both | $565 | $565 | — | — | — | $565 – $565 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $639 | $639 | — | — | — | $639 – $639 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $639 | $639 | — | — | — | $639 – $639 |
Last updated: Jan 28, 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.