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
$1
Average
$1.4k
Median
$1.5k
High
$2.5k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 2.8× 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.
Filter by billing methodology
Filter by billing class
37 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $1.4k | $1.5k | $435 | 29% | — | $711 – $2.4k |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $2.5k | $2.5k | $753 | 31% | — | $1.4k – $3.4k |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $1.3k | $1.5k | $408 | 27% | — | $711 – $2.3k |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $1.9k | $2.2k | $767 | 35% | — | $1.5k – $3.3k |
| 9 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $1.4k | $1.9k | $892 | 48% | — | $1.2k – $3.5k |
| 13 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $1.4k | $1.5k | $453 | 29% | — | $711 – $2.5k |
| 16 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 3 | $1.5k | $1.4k | $272 | 20% | — | $974 – $1.6k |
| 17 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $1.4k | $1.5k | $412 | 27% | — | $689 – $2.3k |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | United Hospital Center Bridgeport, WV facility · other · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
← Payers reporting HCPCS L0462 · Snapshot 20261111T120946Z-9134e7f7