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
ORTHOPEDIC BRACE L0454(200-300.99)
Clovis, CA
See all hospitals reporting HCPCS L0454 →Price type
Clovis Community Medical Center’s median price of $416 is 5% below the median hospital's median price ($437), higher than 18% of the 845 hospitals reporting HCPCS L0454. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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 managed medi-cal facility · fee schedule · inpatient | $218 | $218 | — | — | — | $218 – $218 |
| 2 | Molina managed medi-cal facility · fee schedule · inpatient | $218 | $218 | — | — | — | $218 – $218 |
| 3 | Aetna medicare advantage facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 4 | Aetna medicare hmo for chp facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 5 | Aetna ppo facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 7 | Cigna access (pffs) facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 8 | Cigna healthspring facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 9 | Humana medicare advantage facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 10 | Kaiser commercial facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 11 | Kaiser senior advantage medicare facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 12 | WellCare medicare advantage facility · case rate · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · inpatient | $422 | $422 | — | — | — | $422 – $422 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · inpatient | $437 | $437 | — | — | — | $437 – $437 |
| 15 | UnitedHealthcare ppo facility · fee schedule · inpatient | $607 | $607 | — | — | — | $607 – $607 |
| 16 | UnitedHealthcare hmo facility · fee schedule · inpatient | $620 | $620 | — | — | — | $620 – $620 |
| 17 | Blue Cross Blue Shield epn facility · fee schedule · inpatient | $649 | $649 | — | — | — | $649 – $649 |
| 18 | Blue Cross Blue Shield epoppo facility · fee schedule · inpatient | $677 | $677 | — | — | — | $677 – $677 |
| 19 | Blue Cross Blue Shield hmopos facility · fee schedule · inpatient | $677 | $677 | — | — | — | $677 – $677 |
| 20 | Aetna hmoposppo facility · fee schedule · inpatient | $687 | $687 | — | — | — | $687 – $687 |
| 21 | Aetna qualified health plan facility · fee schedule · inpatient | $697 | $697 | — | — | — | $697 – $697 |
| 22 | Cigna hmo facility · fee schedule · inpatient | $836 | $836 | — | — | — | $836 – $836 |
| 23 | Cigna ppo facility · fee schedule · inpatient | $836 | $836 | — | — | — | $836 – $836 |
| 24 | Blue Cross Blue Shield hmoppo facility · fee schedule · inpatient | $940 | $940 | — | — | — | $940 – $940 |
| 25 | Blue Cross Blue Shield exchange hmo facility · fee schedule · inpatient | $957 | $957 | — | — | — | $957 – $957 |
Last updated: Sep 11, 2026
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