HCPCS L8015
External breast prosthesis garment, with mastectomy form, post mastectomy
Current code23 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 | $73.33 – $80.67 | — | — |
| Deaconess Medical Center | $73.33 – $80.67 | — | — |
| Harborview Medical Center | $74.83 – $82.31 | — | — |
| Kadlec Regional Medical Center | $74.83 – $89.80 | — | — |
| Mary Bridge Children's Hospital | $73.33 – $80.67 | — | — |
| MultiCare Auburn Medical Center | $73.33 – $80.67 | — | — |
| MultiCare Covington Medical Center | $73.33 – $80.67 | — | — |
| MultiCare Good Samaritan Hospital | $73.33 – $80.67 | — | — |
| MultiCare Valley Hospital | $75.53 – $80.67 | — | — |
| Overlake Hospital Medical Center & Clinics | $74.83 – $77.82 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $74.83 – $89.80 | — | — |
| Providence Centralia Hospital | $74.83 – $120 | — | — |
| Providence Regional Medical Center Everett | $74.83 – $82.31 | — | — |
| Providence St Peter Hospital | $74.83 – $120 | — | — |
| Swedish Edmonds Hospital | $74.83 – $89.80 | — | — |
| Swedish Issaquah | $74.83 – $89.80 | — | — |
| Swedish Medical Center | $74.83 – $89.80 | — | — |
| Swedish Medical Center / Cherry Hill | $74.83 – $89.80 | — | — |
| Tacoma General Allenmore Hospital | $73.33 – $80.67 | — | — |
| University of Washington Medical Ctr | $74.83 – $82.31 | $118 | $169 |
| Virginia Mason Medical Center | $51.35 – $77.03 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $73.33 – $82.13 | — | — |
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)