HCPCS L8020
Breast prosthesis, mastectomy form
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 | $289 – $318 | — | — |
| Deaconess Medical Center | $289 – $318 | — | — |
| Harborview Medical Center | $295 – $324 | — | — |
| Kadlec Regional Medical Center | $295 – $354 | — | — |
| Mary Bridge Children's Hospital | $289 – $318 | — | — |
| MultiCare Auburn Medical Center | $289 – $318 | — | — |
| MultiCare Covington Medical Center | $289 – $318 | — | — |
| MultiCare Good Samaritan Hospital | $289 – $318 | — | — |
| MultiCare Valley Hospital | $298 – $318 | — | — |
| Overlake Hospital Medical Center & Clinics | $295 – $307 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $295 – $354 | — | — |
| Providence Centralia Hospital | $295 – $472 | — | — |
| Providence Regional Medical Center Everett | $295 – $324 | — | — |
| Providence St Peter Hospital | $295 – $472 | — | — |
| Swedish Edmonds Hospital | $295 – $354 | — | — |
| Swedish Issaquah | $295 – $354 | — | — |
| Swedish Medical Center | $295 – $354 | — | — |
| Swedish Medical Center / Cherry Hill | $295 – $354 | — | — |
| Tacoma General Allenmore Hospital | $289 – $318 | — | — |
| University of Washington Medical Ctr | $295 – $324 | — | — |
| Virginia Mason Medical Center | $202 – $304 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $289 – $324 | — | — |
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
- $295 (fee)