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 4mod sacro-scap pre
Clarion, PA
See all hospitals reporting HCPCS L0464 →Price type
Clarion Hospital’s median price of $1.9k is about the same as the median hospital's median price ($1.8k), higher than 54% of the 1,221 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: 6 payers, 11 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 | Cigna commercial facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | Tricare tricare facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Aetna mcr advantage facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | Devoted mcr advantage facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Aetna auto network facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Aetna commercial facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | Highmark mcr advantage facility · fee schedule · outpatient | $1.7k | $2.5k | $1.0k | 42% | — | $1.7k – $3.9k |
| 10 | Highmark chip facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | Aetna hmo facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
Last updated: Jan 1, 2026
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