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  4. /NDC 00054-0221-20

NDC 00054-0221-20

ADDITION TO TLSO, (LOW PROFILE), ABDOMINAL PAD at Sierra Vista Hospital Inc

Obispo, CA

Pricing by billing methodology

Price type

All methodologies

$161

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$381

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$150

Reflects a negotiated percentage of total billed charges.

Other

$137

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jan 10, 2026

Compare to other hospitals

See ADDITION TO TLSO, (LOW PROFILE), ABDOMINAL PAD pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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