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
HC TLSO,TRIPLANAR CTRL,2 PC SHELL W/OUT LINER,POST EXTENDS F/SACROCOCCYGEAL JUNCT AND INFERIOR TO SCAPULAR SPINE,SYMPHYSIS PUBIS TO STERNAL NOTCH,CARVED PLASTER OR CAD-CAM MODEL,CUST FAB
Covington, WA
See all hospitals reporting HCPCS L0484 →Price type
MultiCare Covington Medical Center’s median price of $2.1k is 9% below the median hospital's median price ($2.3k), higher than 18% of the 938 hospitals reporting HCPCS L0484. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 23 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare all commercial plans percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Regence blue high performance fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Regence mcc/ahn fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Regence realvalue fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Regence commercial fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Aetna medadvantage fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Regence medadvantage fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | UnitedHealthcare medadvantage fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Molina medadvantage fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | WellCare medadvantage fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | UnitedHealthcare all commercial plans fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Aetna all commercial plans fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 17 | Cigna all commercial plans fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | Premera hmo fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 19 | Premera prime fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Premera signature fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 21 | Ambetter coordinated care exchange fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 22 | Premera other commercial plans fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 23 | Kaiser ppo fee schedule · outpatient | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
Last updated: Aug 27, 2026
See Thoracolumbosacral orthosis with rigid plastic shell pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.