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
Boulder, CO
See all hospitals reporting HCPCS L0455 →Price type
Boulder Community Health’s median price of $181 is 33% below the median hospital's median price ($270), higher than 15% of the 833 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: 9 payers, 20 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 | Aetna medicare advantage professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Aetna commercial professional · fee schedule · both | $139 | $139 | $42 | 31% | — | $96 – $181 |
| 4 | Healthpartners managed medicaid professional · fee schedule · both | $146 | $146 | — | — | — | $146 – $146 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 6 | Anthem medicare advantage facility · case rate · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 7 | Humana medicare advantage professional · fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 9 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 10 | Anthem commercial professional · fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 11 | Anthem managed care professional · fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $181 | $181 | $1 | 0% | — | $180 – $182 |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $191 | $191 | — | — | — | $191 – $191 |
| 15 | Kaiser commercial professional · fee schedule · both | $226 | $226 | — | — | — | $226 – $226 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $228 | $228 | $52 | 23% | — | $177 – $280 |
| 17 | MultiPlan commercial professional · fee schedule · both | $270 | $270 | — | — | — | $270 – $270 |
| 18 | Phcs commercial professional · fee schedule · both | $270 | $270 | — | — | — | $270 – $270 |
| 19 | Kaiser commercial facility · case rate · outpatient | $386 | $386 | $47 | 12% | — | $339 – $433 |
| 20 | Kaiser managed care facility · case rate · outpatient | $428 | $428 | — | — | — | $428 – $428 |
Last updated: Sep 16, 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.