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 flex trnk sj-t9 pre ots
Marshalltown, IA
See all hospitals reporting HCPCS L0455 →Price type
UnityPoint Health Marshalltown’s median price of $346 is 28% above the median hospital's median price ($270), higher than 79% of the 833 hospitals reporting HCPCS L0455. 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, 13 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 | $207 | $207 | — | — | — | $207 – $207 |
| 2 | UnitedHealthcare ppo fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 3 | Wellmark commercial fee schedule · both | $332 | $332 | — | — | — | $332 – $332 |
| 4 | Wellmark hmo fee schedule · both | $332 | $332 | — | — | — | $332 – $332 |
| 5 | Wellmark ppo fee schedule · both | $332 | $332 | — | — | — | $332 – $332 |
| 6 | Aetna medicare advantage case rate · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 7 | Molina medicare advantage case rate · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 8 | Wellmark medicare advantage case rate · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 9 | Humana medicare advantage case rate · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 11 | Cigna commercial fee schedule · both | $429 | $429 | — | — | — | $429 – $429 |
| 12 | Aetna hmo fee schedule · both | $465 | $465 | — | — | — | $465 – $465 |
| 13 | Aetna ppo fee schedule · both | $465 | $465 | — | — | — | $465 – $465 |
Last updated: Jan 28, 2026
See Thoracolumbosacral orthosis, flexible back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.