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
HCHG CSTM L0464 TLSO 4MOD SACRO-SCAP PRE
Rapids, MN
See all hospitals reporting HCPCS L0464 →Price type
Allina Health Systems’s median price of $2.1k is 13% above the median hospital's median price ($1.8k), higher than 71% of the 1,216 hospitals reporting HCPCS L0464. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $710 | $710 | — | — | — | $710 – $710 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | Bcbs Mn bc premier (m u) facility · other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Medicare medicare (m) facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Medica medica medicare (m) facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 19 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 21 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 22 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 23 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 24 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 25 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
Last updated: Jun 17, 2026
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