Search thousands of topics on CostHelper.com

BROWSE ALL TOPICS >> babies & children  cars  consumer electronics health & personal care home & garden personal finance  pets  schools small business sports weddings
CostHelper > Health & Personal Care  > Medical Equipment and Orthopedics > Breast Prosthesis

Breast Prosthesis Cost


How Much Does a Breast Prosthesis Cost?

 
average costWith Health Insurance: Copays + 10%-50% Coinsurancehigh costWithout Health Insurance: $15-$1,000+
post Post    

An external breast prosthesis can be used as an alternative to breast reconstruction after a lumpectomy or mastectomy, usually for breast cancer, or temporarily before reconstruction. The prosthesis can create the appearance of a breast or breasts under clothing, and can add weight to help posture and prevent muscle pain and spine curvature.

Typical costs:

  • For patients with health insurance, out-of-pocket costs typically consist of doctor visit copays and coinsurance of 10%-50%. Under the Women's Health and Cancer Rights Act[1] , health insurance plans that cover mastectomy must also cover a prosthesis. For example, BlueCross BlueShield of North Carolina[2] covers external breast prostheses when they are medically necessary. Insurance plans typically cover replacement of a prosthesis every few years.
  • For patients without health insurance, a breast prosthesis can cost about $15 to more than $500 each, or, for a patient who has had a double mastectomy, under $30 to more than $1,000 for a pair. A basic prosthesis made of foam tends to be priced at the lower end of the range, and a silicone prosthesis falls in the middle. A "contact," or adhesive prosthesis, which sticks directly to the skin rather than being held in the pouch of a mastectomy bra, tends to cost the most.
  • For example, at Park Mastectomy, a non-silicone breast prosthesis[3] , which might be made of foam or polyfill, costs $12-$80. At the Simms/Mann UCLA Center for Integrative Oncology, a non-silicone breast prosthesis[4] costs $40-$80. At the Seattle Cancer Care Alliance, a non-silicone breast prosthesis[5] costs $150-$200. At MastectomyShop.com, a breast prosthesis for swimming[6] costs $75-$220.
  • At Park Mastectomy, equalizers[7] , also called shapers or enhancers, for women who have had a lumpectomy, cost $50-$260. At the Simms/Mann UCLA Center for Integrative Oncology equalizers[8] cost $80-$225.
  • For a silicon prosthesis[9] , the Simms/Mann UCLA Center for Integrative Oncoloy charges $215-$350. At NearlyYou.com, a silicone prosthetic breast[10] costs $90-$250. Seattle Cancer Care Alliance, meanwhile, charges $245-$390 for a silicone breast prosthesis[11] .
  • At Park Mastectomy, adhesive breast forms[12] that stick directly to the chest cost $130-$265. At the Seattle Cancer Care Alliance, a "contact form" breast prosthesis[13] costs $400-$550.
Related articles: Breast Cancer Treatment, Breast Reconstruction, Chemotherapy, Health Insurance

What should be included:
  • About a month after surgery, a certified mastectomy fitter will measure a patient and help the patient decide what kind of breast prosthesis will work best for her needs. Points to consider include comfort, lifestyle, appearance and the size and shape of the remaining breast, if the patient has one.
  • Options include a non-silicone breast prosthesis, which is less expensive and lighter, or a silicone breast prosthesis, which tends to look more natural and weighs more to balance posture and help avoid back problems.
  • BreastCancer.org offers an overview of breast prostheses[14] .
Additional costs:
  • Some breast forms are designed to be attached directly to the body, but others fit into a specially designed mastectomy bra. At the Simms/Mann UCLA Center for Integrative Oncology, a mastectomy bra [15] costs from $36-$65. Insurance companies often cover two or more new bras every six months to a year, according to Simms/Mann.
  • A breast prosthesis typically needs to be replaced every two years, which usually is covered by insurance.
Discounts:
  • Some non-profits offer financial assistance for prosthetic breasts. For example, the All4One Alliance has programs[16] that provide up to $300 per year toward a prosthetic breast and $100 a year toward a post-mastectomy garment.
Shopping for a breast prosthesis:
  • The American Cancer Society offers a list of breast prosthesis manufacturers and mastectomy shops[17] where patients can get fitted for and purchase a breast prosthesis.
  • A patient should be fitted for a breast prosthesis by a mastectomy fitter who is certified by the American Board for Certification in Orthotics, Prosthetics and Pedorthics[18] or the Board for Orthotist/Prosthetist Certification[19] . The Amputee Coalition offers tips on choosing a prosthetist[20] .
  • Cancer.net offers a guide[21] to choosing a breast prosthesis.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
post Post    
CostHelper News


7 Must-Have Tailgating Toys
Tailgating is an art form these days -- and a crazy one at that. There is an entire industry that caters to die-hard sports fans, providing all the comforts of home in a parking lot setting. || Posted September 12 2013


Boo! Don't Get Scared by Halloween Store Prices
Some people call me morbid. I call it a playful realism about human life expectancy. Either way, as soon as the local Halloween stores open, I'm in there checking out the inventory. || Posted September 4 2013

‣ All CostHelper Blog Posts


What People Are Paying - Recent Comments


 

Comment On Your Experience With a Breast Prosthesis
 
Subject:  *
Amount Spent:  *
Type of Prosthetic: Material: 
Comments: 
Purchased:  Year: 
City:  * State:  *
 
Information about you:
Email:  * Email addresses are not displayed.
Name:  This is the name we'll display with your post.
me on this computer
*=required field.
 



External Resources:
  1.  www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/womens-he...
  2.  www.bcbsnc.com/content/providers/news-and-information/news/Orthotic%20prosthetic%20appl...
  3.  www.parkmastectomy.com/category/Foam-Polyfil-Breast-Forms.html
  4.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  5.  www.seattlecca.org/breast-prosthetics-mastectomy-bras.cfm
  6.  www.mastectomyshop.com/categories/Breast-Forms/Swim-Form/
  7.  www.parkmastectomy.com/category/Breast-Form-Lumpectomy.html
  8.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  9.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  10.  www.nearlyou.com/
  11.  www.seattlecca.org/breast-prosthetics-mastectomy-bras.cfm
  12.  www.parkmastectomy.com/category/Attachable-Breast-Forms.html
  13.  www.seattlecca.org/breast-prosthetics-mastectomy-bras.cfm
  14.  www.breastcancer.org/treatment/surgery/reconstruction/prosthetics
  15.  www.simmsmanncenter.ucla.edu/reflections/section/breast_prostheses_bras.asp
  16.  www.all4onealliance.org/breast-cancer-resources/
  17.  www.cancer.org/cancer/breastcancer/moreinformation/breast-prostheses-and-hair-loss-acce...
  18.  www.abcop.org/certification/CertifiedFitterMastectomy/Pages/Default.aspx
  19.  www.bocusa.org/mastectomy-fitter-certification-cmf
  20.  www.amputee-coalition.org/first_step_2003/choosing-a-prosthetist.html
  21.  www.cancer.net/all-about-cancer/cancernet-feature-articles/after-treatment-and-survivor...
More Health & Personal Care Topics
Check Out All Costs for Health & Personal Care How Much Do Dentures Cost? How Much Does a Knee Brace Cost? How Much Does an Emergency Room Visit Cost?

Search Thousands of Topics on CostHelper.com

 
Today's Featured Cost Articles

About CostHelper
CostHelper is based in Silicon Valley and provides consumers with unbiased price information about thousands of goods and services. Our writers are experienced journalists who adhere to our strict editorial ethics policy.

CostHelper Community
Teacher was recommended from the schools and D teacher was recommended from the school’s conductor
Paid: 40.00
My son is in middle school and has been participating in his elementary school orchestra for two years. A lot of the kids were getting extra private lessons, and we can tell our son was a little bit behind the other students... [more]
-Ed L.
Violin Lessons Cost
Headstone foundation only
Paid: 995.00
Is this reasonable for just the foundation alone to be installed for a small market? I still have to pay for the market itself and it's installation!... [more]
-D. Jackson
Headstones Cost
TMJ Orthotic
Paid: 5500.00
Dentist made a custom made mouth guard or Orthotic on my lower teeth. It is only supposed to provide temporary relieve about 3-6 months. I have been using it for 8 months with no pain relief... [more]
-Mr
TMJ Treatment Cost
Head Gasket Replacement
Paid: 675.00
Realistically, $600-$700 is a reasonable amount depending on whether you are paying for parts and labor or just labor; and especially dependent on what other parts you are electing to replace when having the head gasket replaced... [more]
-S. William
Head Gasket Replacement Cost
Before and after School Care
Paid: 668.00
We live in the Bay area in California where everything is expensive. I am gratefull to have this so I can work... [more]
-T Lawrence
Before and After School Programs Cost
Shingles vaccination
Paid: 385.00
2019 Scripps charged over 600.00 for this. After Medicare and my part D insurance with blue Shield I paid $385.00 to Scripps. This is for the first vaccination... [more]
-Edie1949
Shingles Vaccine Cost