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
Brace Tlso 2 Pc Wo Liner Cstm
Sioux Falls, SD
See all hospitals reporting HCPCS L0484 →Price type
Avera Specialty Hospital’s median price of $3.7k is 60% above the median hospital's median price ($2.3k), higher than 86% of the 938 hospitals reporting HCPCS L0484. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 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 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 3 | Medica com percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Apr 1, 2026
See Thoracolumbosacral orthosis with rigid plastic shell pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.