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
Brst prsth bra & bilat form
Elyria, OH
See all hospitals reporting HCPCS L8002 →Price type
University Hospitals Health System’s median price of $203 is 2% below the median hospital's median price ($208), higher than 35% of the 863 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 11 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 | Aetna medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 2 | Anthem medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 3 | Cigna medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 4 | Devoted medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 6 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 10 | Ambetter commercial facility · fee schedule · outpatient | $366 | $366 | — | — | — | $366 – $366 |
| 11 | Caresource marketplace facility · fee schedule · outpatient | $366 | $366 | — | — | — | $366 – $366 |
Last updated: Jul 14, 2026
See Mastectomy bra with built-in breast forms, both sides pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.