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
CTLSO MOLDED TO PATIENT
Lee's Summit, MO
See all hospitals reporting HCPCS L0700 →Price type
Lee's Summit Medical Center’s median price of $3.1k is 19% above the median hospital's median price ($2.6k), higher than 74% of the 926 hospitals reporting HCPCS L0700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 44 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 | Anthem missouricaremgmcd percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 3 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Humana aso percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Humana epo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Cigna surefit/localplus percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Humana pos percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 11 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | Cigna localkc percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 18 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Blue Cross Blue Shield tricare fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 21 | Devoted mgmcr fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | Humana mgmcrhmo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | Humana mgmcrppo fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | Humana pffs fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | UnitedHealthcare vaccn fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Mar 1, 2026
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