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 flex trnk sj-t9 pre ots
Arlington, TX
See all hospitals reporting HCPCS L0455 →Price type
AMH Cath Labs LLC’s median price of $267 is about the same as the median hospital's median price ($269), higher than 45% of the 828 hospitals reporting HCPCS L0455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 8 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 2 | Humana medicare advantage case rate · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $264 | $264 | — | — | — | $264 – $264 |
| 4 | Molina medicare advantage case rate · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $287 | $287 | — | — | — | $287 – $287 |
Last updated: Apr 21, 2026
See Thoracolumbosacral orthosis, flexible back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.