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 SHELL RG
Lone Tree, CO
See all hospitals reporting HCPCS L0484 →Price type
Hca Healthone Sky Ridge’s median price of $6.5k is 185% above the median hospital's median price ($2.3k), higher than 96% 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: 10 payers, 32 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 | Humana mcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 2 | UnitedHealthcare mcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 3 | Aetna mcradvhmo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Aetna mcradvppo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Anthem mcr fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Cigna Healthspring medicare fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Devoted mcradvantage fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Kaiser mgmcr fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | WellCare mcr fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Kaiser commercialsmallgroupplans percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 11 | Kaiser kpif percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | Kaiser kpselect percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 14 | Cigna connect-sbp percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 15 | Cigna surefit percent of total billed charges · outpatientfrom % of charges | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 16 | Cigna connect-nsbp percent of total billed charges · outpatientfrom % of charges | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 17 | Aetna nbr percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 18 | Cigna broad percent of total billed charges · outpatientfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 19 | Kaiser hmo percent of total billed charges · outpatientfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 20 | Kaiser ppo percent of total billed charges · outpatientfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 21 | Aetna existingbusiness percent of total billed charges · outpatientfrom % of charges | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 22 | UnitedHealthcare globalbenefit percent of total billed charges · outpatientfrom % of charges | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 23 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 24 | Aetna cofinity percent of total billed charges · outpatientfrom % of charges | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 25 | Cigna broadleanbenefitplans percent of total billed charges · outpatientfrom % of charges | $19.0k | $19.0k | — | — | — | $19.0k – $19.0k |
Last updated: Mar 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.