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
TLSO 4MOD SACRO-SCAP PRE
Springfield, OR
See all hospitals reporting HCPCS L0464 →Price type
Sacred Heart-Riverbend’s median price of $1.9k is 2% above the median hospital's median price ($1.8k), higher than 56% of the 1,216 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: 4 payers, 9 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 all payer appendix facility · fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 2 | UnitedHealthcare doctors plan facility · fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 3 | Regence medicare advantage hmo facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Regence medicare advantage ppo facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Kaiser medicare advantage facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | UnitedHealthcare medicare payer appendix facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | WellCare medicare advantage facility · other · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Regence commercial facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | UnitedHealthcare nexusaco facility · fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Mar 20, 2026
See Prefabricated four-piece back brace, shoulder blades to tailbone pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.