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 3MOD SACRO-SCAP PRE
Low
$389
Average
$1.8k
Median
$1.7k
High
$4.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 2.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 384 | $1.6k | $1.7k | $855 | 50% | — | $404 – $8.2k |
| 2 | Aetna fee schedule · outpatient · +17 other terms | 370 | $1.5k | $1.8k | $833 | 46% | — | $768 – $10.0k |
| 3 | Humana fee schedule · outpatient · +16 other terms | 327 | $1.5k | $2.3k | $2.4k | 107% | — | $547 – $11.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 242 | $1.6k | $2.1k | $1.1k | 55% | — | $0 – $9.9k |
| 5 | WellCare fee schedule · outpatient · +8 other terms | 214 | $1.6k | $1.6k | $241 | 15% | — | $1.5k – $2.9k |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 165 | $1.5k | $1.6k | $36 | 2% | — | $1.5k – $1.9k |
| 7 | Molina fee schedule · outpatient · +11 other terms | 144 | $2.2k | $2.0k | $823 | 40% | — | $404 – $4.0k |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $1.6k | $1.6k | $55 | 3% | — | $1.5k – $1.9k |
| 9 | Cigna fee schedule · outpatient · +17 other terms | 114 | $1.6k | $2.2k | $1.1k | 51% | — | $644 – $8.5k |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 89 | $1.5k | $2.1k | $1.8k | 82% | — | $547 – $11.5k |
| 11 | Kaiser fee schedule · outpatient · +16 other terms | 75 | $1.6k | $2.3k | $1.6k | 71% | — | $785 – $11.0k |
| 12 | Caresource fee schedule · outpatient · +9 other terms | 46 | $1.5k | $1.5k | $391 | 25% | — | $547 – $2.4k |
| 13 | Clover fee schedule · outpatient · +3 other terms | 42 | $1.6k | $1.6k | $79 | 5% | — | $1.5k – $1.8k |
| 14 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $1.6k | $1.6k | $8 | 0% | — | $1.5k – $1.6k |
| 15 | Oscar fee schedule · outpatient · +8 other terms | 36 | $1.6k | $1.8k | $378 | 21% | — | $1.5k – $2.6k |
| 16 | Ambetter facility · fee schedule · outpatient · +8 other terms | 34 | $2.8k | $2.9k | $695 | 24% | — | $1.5k – $3.9k |
| 17 | Optum fee schedule · outpatient · +4 other terms | 33 | $1.5k | $2.0k | $816 | 41% | — | $1.5k – $3.9k |
| 18 | Medica facility · fee schedule · outpatient · +6 other terms | 25 | $1.6k | $1.5k | $345 | 24% | — | $511 – $2.5k |
| 19 | Medicare fee schedule · outpatient · +2 other terms | 23 | $1.5k | $1.5k | $14 | 1% | — | $1.5k – $1.5k |
| 20 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 18 | $1.9k | $1.8k | $102 | 6% | — | $1.5k – $1.9k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Regence facility · fee schedule · outpatient · +6 other terms | 17 | $1.6k | $1.6k | $118 | 8% | — | $1.2k – $1.6k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $1.5k | $1.8k | $437 | 25% | — | $835 – $2.4k |
| 24 | Bcbs Mn fee schedule · outpatient · +6 other terms | 13 | $1.4k | $1.4k | $326 | 23% | — | $679 – $1.6k |
| 25 | Tricare fee schedule · outpatient · +3 other terms | 13 | $1.5k | $1.5k | $12 | 1% | — | $1.5k – $1.5k |
← Hospitals reporting HCPCS L0462 · Snapshot 20261111T120946Z-9134e7f7