HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Current code27 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L8000 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$43.53 – $33816 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$60.46 – $2109 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$80.83 – $1012 plans$114 – $4,675$162 – $6,678
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$76.20 – $1425 plans$158$226
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$43.53 – $3717 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$42.32 – $21817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$42.32 – $21817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$49.12 – $21812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$48.37 – $21010 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$46.34 – $13910 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$78.26 – $1689 plans$222$317
Providence Centralia HospitalCentraliaFile dated 2026-04-01$85.38 – $1895 plans$235$452
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$222$317
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$210$300
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$60.62 – $1177 plans$260$500
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$210$300
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$183$261
Providence St Peter HospitalOlympiaFile dated 2026-04-01$42.94 – $1658 plans$235$452
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$75.78 – $1857 plans$161$335
Swedish IssaquahIssaquahFile dated 2026-04-01$75.78 – $1127 plans$161$335
Swedish Medical CenterSeattleFile dated 2026-04-01$75.78 – $1809 plans$161$335
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$75.78 – $1809 plans$161$335
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$42.32 – $21820 plans$108$270
University of Washington Medical CtrSeattleFile dated 2026-04-01$80.83 – $1585 plans$98.43 – $148$141 – $212
Virginia Mason Medical CenterSeattle$48.37 – $1767 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1271 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$43.53 – $13113 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$50.52 (fee)