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
Fa Brace Tlso Aspen Vista 464
View, MO
See all hospitals reporting HCPCS L0464 →Price type
Mercy St. Francis Hospital’s median price of $477 is 74% below the median hospital's median price ($1.8k), higher than 7% of the 1,225 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: 15 payers, 27 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 | UnitedHealthcare hb mtnv uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 2 | Aetna hb mtnv aetna mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 3 | Blue Cross Blue Shield hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 4 | Blue Cross Blue Shield hb mtnv medicare facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 5 | Cigna hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Humana hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Medica hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 8 | Medicare hb mtnv medicare facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 9 | WellCare hb mtnv wellcare medicare 103% facility · percent of total billed charges · outpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 10 | Devoted hb mtnv devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 11 | Tricare hb mtnv tricare facility · percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | — | $181 – $181 |
| 12 | Anthem hb mtnv anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 13 | Blue Cross Blue Shield hb mtnv anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 14 | Blue Cross Blue Shield hb mtnv anthem blue access/blue access choice facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 15 | Blue Cross Blue Shield hb mtnv anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 16 | Blue Cross Blue Shield hb mtnv anthem pathway exchange facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 17 | Blue Cross Blue Shield hb mtnv anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 18 | Ambetter hb mtnv ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $277 | $277 | — | — | — | $277 – $277 |
| 19 | Aetna hb mtnv aetna facility · percent of total billed charges · outpatientfrom % of charges | $474 | $474 | — | — | — | $474 – $474 |
| 20 | Humana hb mtnv humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $480 | $480 | — | — | — | $480 – $480 |
| 21 | Optum hb mtnv uhc facility · percent of total billed charges · outpatientfrom % of charges | $496 | $496 | — | — | — | $496 – $496 |
| 22 | UnitedHealthcare hb mtnv uhc facility · percent of total billed charges · outpatientfrom % of charges | $496 | $496 | — | — | — | $496 – $496 |
| 23 | UnitedHealthcare hb mtnv uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $496 | $496 | — | — | — | $496 – $496 |
| 24 | Medica hb mtnv medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 25 | Cigna hb mtnv cigna facility · percent of total billed charges · outpatientfrom % of charges | $506 | $506 | — | — | — | $506 – $506 |
Last updated: Jun 10, 2026
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