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) |
|---|---|---|---|
| Capital Medical Center | $49.51 – $54.46 | — | — |
| Deaconess Medical Center | $49.51 – $54.46 | — | — |
| Harborview Medical Center | $50.52 – $55.57 | $114 – $4,675 | $162 – $6,678 |
| Kadlec Regional Medical Center | $50.52 – $60.62 | $158 | $226 |
| Mary Bridge Children's Hospital | $49.51 – $54.46 | — | — |
| MultiCare Auburn Medical Center | $49.51 – $54.46 | — | — |
| MultiCare Covington Medical Center | $49.51 – $54.46 | — | — |
| MultiCare Good Samaritan Hospital | $49.51 – $54.46 | — | — |
| MultiCare Valley Hospital | $50.99 – $54.46 | — | — |
| Overlake Hospital Medical Center & Clinics | $50.52 – $52.54 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $50.52 – $60.62 | $222 | $317 |
| Providence Centralia Hospital | $50.52 – $80.83 | $235 | $452 |
| Providence Holy Family Hospital | — | $222 | $317 |
| Providence Mount Carmel Hospital | — | $210 | $300 |
| Providence Regional Medical Center Everett | $50.52 – $55.57 | $260 | $500 |
| Providence St Joseph Hospital | — | $210 | $300 |
| Providence St Mary Medical Center | — | $183 | $261 |
| Providence St Peter Hospital | $50.52 – $80.83 | $235 | $452 |
| Swedish Edmonds Hospital | $50.52 – $60.62 | $161 | $335 |
| Swedish Issaquah | $50.52 – $60.62 | $161 | $335 |
| Swedish Medical Center | $50.52 – $60.62 | $161 | $335 |
| Swedish Medical Center / Cherry Hill | $50.52 – $60.62 | $161 | $335 |
| Tacoma General Allenmore Hospital | $49.51 – $54.46 | $108 | $270 |
| University of Washington Medical Ctr | $50.52 – $55.57 | $98.43 – $148 | $141 – $212 |
| Virginia Mason Medical Center | $34.67 – $52.01 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $49.51 – $55.45 | — | — |
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)