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
HC TLSO FLEX RIGID PANEL SACRUM SCAP PREFAB
Low
$48
Average
$835
Median
$748
High
$1.9k
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 9.2× 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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31 hospital rates
iThe hospitals that file a Aetna Better Health 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 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 6 | Charleston Area Medical Center Charleston, WV fee schedule · both | 1 | $959 | $959 | — | — | — | $959 – $959 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 8 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 9 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 12 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 13 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 14 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 15 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Norton Hospitals INC Louisville, KY fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $850 | $850 | — | — | — | $850 – $850 |
| 22 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 23 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 24 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
← Payers reporting HCPCS L0456 · Snapshot 20261111T120946Z-9134e7f7