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Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material cost in Texas

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Cash from
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Cash range · 0 distinct prices
$667
Insurer rates from
6
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Sep 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
ST DAVIDS REHABAustin—$667Mar 2026229 days old
HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKRound Rock—$667Mar 2026229 days old
ST. DAVID'S GEORGETOWN HOSPITALGeorgetown—$667Mar 2026229 days old
HEART HOSP OF AUSTINAustin—$667Mar 2026229 days old
ST. DAVID'S MEDICAL CENTERAustin—$667Sep 2026
ST.DAVIDS SURGICAL HOSPITALRound Rock—$667Mar 2026229 days old
Where this procedure name comes from

This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.

What the hospitals published for this code, in their own words:

  • Beavercreek Medical CenterAdd UE prost a/e acrylic
  • Berger HospitalAdd UE prost a/e acrylic
  • Bethesda Hospital Inc.Add UE prost a/e acrylic
  • Clinton Memorial HospitalAdd UE prost a/e acrylic
  • Dayton Osteopathic HospitalAdd UE prost a/e acrylic
  • Fairview HospitalAdd ue prost a/e acrylic
  • Fort Hamilton HospitalAdd UE prost a/e acrylic
  • Greene Memorial Hospital IncAdd UE prost a/e acrylic
  • HEART HOSP OF AUSTINAddition to upper extremity prosthesis, above elbow disarticulation, acrylic material
  • HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKAddition to upper extremity prosthesis, above elbow disarticulation, acrylic material

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Estimates from published hospital rates — not your exact bill.