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 3 piece rigid shell
Dubuque, IA
See all hospitals reporting HCPCS L0492 →Price type
The Finley Hospital’s median price of $585 is 7% below the median hospital's median price ($629), higher than 13% of the 814 hospitals reporting HCPCS L0492. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 hmo fee schedule · both | $282 | $282 | — | — | — | $282 – $282 |
| 2 | UnitedHealthcare ppo fee schedule · both | $282 | $282 | — | — | — | $282 – $282 |
| 3 | Wellmark commercial fee schedule · both | $555 | $555 | — | — | — | $555 – $555 |
| 4 | Wellmark hmo fee schedule · both | $555 | $555 | — | — | — | $555 – $555 |
| 5 | Wellmark ppo fee schedule · both | $555 | $555 | — | — | — | $555 – $555 |
| 6 | Aetna hmo fee schedule · outpatient | $566 | $566 | — | — | — | $566 – $566 |
| 7 | Aetna ppo fee schedule · outpatient | $566 | $566 | — | — | — | $566 – $566 |
| 8 | Aetna medicare advantage case rate · outpatient | $577 | $577 | — | — | — | $577 – $577 |
| 9 | Molina medicare advantage case rate · outpatient | $577 | $577 | — | — | — | $577 – $577 |
| 10 | Wellmark medicare advantage case rate · outpatient | $577 | $577 | — | — | — | $577 – $577 |
| 11 | Humana medicare advantage case rate · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 13 | Aetna hmo fee schedule · both | $633 | $633 | — | — | — | $633 – $633 |
| 14 | Aetna ppo fee schedule · both | $633 | $633 | — | — | — | $633 – $633 |
| 15 | Cigna commercial fee schedule · both | $719 | $719 | — | — | — | $719 – $719 |
| 16 | UnitedHealthcare hmo fee schedule · outpatient | $859 | $859 | — | — | — | $859 – $859 |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $859 | $859 | — | — | — | $859 – $859 |
Last updated: Jan 28, 2026
See Thoracolumbosacral spinal orthosis with rigid plastic shells pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.