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
HC TLSO PREFB 4 SHELL STERNAL NOTCH
Edina, MN
See all hospitals reporting HCPCS L0464 →Price type
Fairview Health Services’s median price of $3.1k is 71% above the median hospital's median price ($1.8k), higher than 89% 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: 8 payers, 43 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 | Bcbs Mn pmap fee schedule · outpatient | $808 | $808 | — | — | — | $808 – $808 |
| 2 | Bcbs Mn aware federal fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Medica managed medicaid/accessability fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | WellCare medicare advantage fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Ucare pmap fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 12 | Medica medicare advantage non-snp fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Bcbs Mn pmap fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Ucare pmap fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | UnitedHealthcare core percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | UnitedHealthcare core percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 23 | Medica msho/medicare advantage snp fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 24 | Ucare individual and family with m health fairview fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | Sanford Health Plan commercial percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Feb 6, 2026
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