Flexible back brace for chest to pelvis (TLSO) at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BRACE ORTHO TLSO L/XL WST BELT

Troy, NY

See all hospitals reporting HCPCS L0456 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $261 is 79% below the median hospital's median price ($1.3k), higher than 2% of the 1,099 hospitals reporting HCPCS L0456. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0456 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 26 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	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
4	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
5	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
6	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
7	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
8	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
9	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
10	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
13	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
14	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
15	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
16	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$237	$237	$23	10%	—	$214 – $261
17	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$446	$460	$142	31%	—	$294 – $652
18	First Health first health facility · percent of total billed charges · bothfrom % of charges	$474	$474	$47	10%	—	$428 – $521
19	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$504	$504	$50	10%	—	$454 – $554
20	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$534	$534	$53	10%	—	$481 – $586
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$534	$534	$53	10%	—	$481 – $586
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$534	$534	$53	10%	—	$481 – $586
23	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$593	$593	$59	10%	—	$535 – $652
24	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$593	$593	$59	10%	—	$535 – $652
25	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$593	$593	$59	10%	—	$535 – $652

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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See Flexible back brace for chest to pelvis (TLSO) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.