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 BACK T-LSO CUSTOM
Muskegon, MI
See all hospitals reporting HCPCS L0486 →Price type
Mercy Health Hackley Campus’s median price of $2.7k is 9% above the median hospital's median price ($2.5k), higher than 59% of the 1,096 hospitals reporting HCPCS L0486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 20 payers, 21 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 | Oscar oscar epo facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 10 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 12 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 13 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 14 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 16 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 18 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | First Health first health ppo facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 21 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
Last updated: Mar 31, 2026
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