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
Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf
SAN ANTONIO, TX
See all hospitals reporting HCPCS L0174 →Price type
Methodist Specialty And Transplant’s median price of $325 is about the same as the median hospital's median price ($325), higher than 50% of the 1,321 hospitals reporting HCPCS L0174. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 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 mgmcrhmo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 2 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 3 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 4 | Devoted dualeligible fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 5 | Devoted mcrhmo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 6 | Devoted mcrpffs fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 7 | Devoted mcrpos fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 8 | Devoted mcrppo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 9 | Devoted mcrsnp fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 10 | Aetna mcr fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 11 | UnitedHealthcare mcr fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 12 | WellCare mcrhmo fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 13 | WellCare mcrpos fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 14 | WellCare mcrppo fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 15 | WellCare mcrsnp fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 16 | WellCare pffs fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 17 | Clover mcr fee schedule · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 18 | Molina mcr fee schedule · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 19 | Molina mme-mmp fee schedule · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 20 | Optum comm fee schedule · outpatient | $789 | $789 | — | — | — | $789 – $789 |
Last updated: May 1, 2026
See Prefabricated two-piece cervical-thoracic spinal brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.