HCPCS L8000
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
Current code27 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Harborview Medical Center | — | $114 – $4,675 | $162 – $6,678 |
| Kadlec Regional Medical Center | — | $158 | $226 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $222 | $317 |
| Providence Centralia Hospital | — | $235 | $452 |
| Providence Holy Family Hospital | — | $222 | $317 |
| Providence Mount Carmel Hospital | — | $210 | $300 |
| Providence Regional Medical Center Everett | — | $260 | $500 |
| Providence St Joseph Hospital | — | $210 | $300 |
| Providence St Mary Medical Center | — | $183 | $261 |
| Providence St Peter Hospital | — | $235 | $452 |
| Swedish Edmonds Hospital | — | $161 | $335 |
| Swedish Issaquah | — | $161 | $335 |
| Swedish Medical Center | — | $161 | $335 |
| Swedish Medical Center / Cherry Hill | — | $161 | $335 |
| Tacoma General Allenmore Hospital | — | $108 | $270 |
| University of Washington Medical Ctr | — | $98.43 – $148 | $141 – $212 |
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)