Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Tlso T9 Corst W/Stays Custom Fit L0454
Low
$238
Average
$1.2k
Median
$471
High
$3.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 8.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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75 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $663 | $663 | — | — | — | $663 – $663 |
| 4 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $942 | $942 | — | — | — | $942 – $942 |
| 6 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 8 | DIGNITY HEALTH Henderson, NV fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | DIGNITY HEALTH Henderson, NV fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | DIGNITY HEALTH Henderson, NV fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | DIGNITY HEALTH Las Vegas, NV fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | DIGNITY HEALTH Las Vegas, NV fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 16 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 17 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 18 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 19 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 20 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 21 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 22 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 23 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 24 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
| 25 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $409 | $409 | — | — | — | $409 – $409 |
← Payers reporting HCPCS L0454 · Snapshot 20261111T120946Z-9134e7f7