HCPCS L8015
External breast prosthesis garment, with mastectomy form, post mastectomy
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $64.48 – $500 | — | — |
| Deaconess Medical Center | $89.55 – $311 | — | — |
| Harborview Medical Center | $120 – $150 | — | — |
| Kadlec Regional Medical Center | $113 – $210 | — | — |
| Mary Bridge Children's Hospital | $64.48 – $549 | — | — |
| MultiCare Auburn Medical Center | $62.69 – $323 | — | — |
| MultiCare Covington Medical Center | $62.69 – $323 | — | — |
| MultiCare Good Samaritan Hospital | $72.73 – $323 | — | — |
| MultiCare Valley Hospital | $71.64 – $311 | — | — |
| Overlake Hospital Medical Center & Clinics | $68.62 – $206 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $116 – $248 | — | — |
| Providence Centralia Hospital | $126 – $280 | — | — |
| Providence Regional Medical Center Everett | $89.80 – $174 | — | — |
| Providence St Peter Hospital | $63.61 – $244 | — | — |
| Swedish Edmonds Hospital | $112 – $274 | — | — |
| Swedish Issaquah | $112 – $166 | — | — |
| Swedish Medical Center | $112 – $267 | — | — |
| Swedish Medical Center / Cherry Hill | $112 – $267 | — | — |
| Tacoma General Allenmore Hospital | $62.69 – $323 | — | — |
| University of Washington Medical Ctr | $120 – $235 | $118 | $169 |
| Virginia Mason Medical Center | $71.64 – $260 | — | — |
| Wellfound Behavioral Health Hospital | $189 | — | — |
| Yakima Valley Memorial | $64.48 – $194 | — | — |
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
- $74.83 (fee)