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 trnk sj-t9 pre cst
Cypress, TX
See all hospitals reporting HCPCS L0454 →Price type
Houston Methodist Cypress Hospital’s median price of $450 is 3% above the median hospital's median price ($437), higher than 62% of the 849 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: 7 payers, 8 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 medicare managed care - hmo fee schedule · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 3 | UnitedHealthcare medicare managed care - hmo fee schedule · outpatient | $437 | $437 | — | — | — | $437 – $437 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo fee schedule · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 5 | Molina advantage medicare managed care plan fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 6 | Devoted medicare managed care - hmo fee schedule · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 7 | Optum transplant medicare managed care plan fee schedule · outpatient | $836 | $836 | — | — | — | $836 – $836 |
| 8 | Molina exchange fee schedule · outpatient | $857 | $857 | — | — | — | $857 – $857 |
Last updated: Apr 1, 2026
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