L0484 (HCPCS) by state — Price Transparency

HCPCS · across United States

L0484 — Tlso, Triplanar Control, Two Piece Rigid Plastic Shell Without Interface Liner, With Multiple Straps And Closures, Posterior Extends From Sacrococcygeal Junction And Terminates Just Inferior To Scapul

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$2,382 National median

$2,094 – $3,377 IQR (p25 – p75)

1,286 hospitals filing

52 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $3,980.

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for L0484 (HCPCS), with interquartile range
State	Median	p25	p75
UT	$5,183	$2,552	$5,659
MT	$4,944	$2,406	$6,828
MD	$3,846	$3,792	$4,121
CO	$3,666	$2,454	$6,560
NV	$3,614	$2,386	$3,703
NC	$3,259	$2,296	$3,281
IL	$3,183	$2,239	$5,025
IA	$3,174	$2,126	$4,026
MS	$3,171	$2,231	$3,711
AZ	$3,149	$2,410	$4,121
MA	$3,066	$2,930	$3,664
DE	$3,063	$2,083	$8,504
OK	$3,003	$2,102	$3,422
OH	$2,786	$2,234	$3,979
AL	$2,772	$2,234	$2,772
SD	$2,750	$2,341	$3,240
ME	$2,723	$2,669	$3,268
NH	$2,723	$2,224	$2,777
WV	$2,723	$2,002	$3,022
RI	$2,669	$893	$3,653
VT	$2,669	$2,607	$2,723
MO	$2,669	$2,066	$3,898
PR	$2,551	$2,551	$3,327
NY	$2,543	$2,144	$3,069
DC	$2,506	$2,229	$5,065
WY	$2,490	$2,030	$2,698
CT	$2,427	$2,034	$3,054
AK	$2,410	$2,386	$2,983
ND	$2,406	$2,406	$2,490
CA	$2,406	$2,209	$3,264
TX	$2,367	$2,042	$3,846
IN	$2,340	$1,866	$3,023
SC	$2,296	$2,187	$3,182
MN	$2,290	$2,195	$3,664
OR	$2,253	$2,042	$2,732
NJ	$2,231	$2,144	$3,324
FL	$2,231	$2,125	$2,359
GA	$2,231	$2,144	$3,846
KY	$2,199	$2,144	$2,800
TN	$2,198	$2,146	$2,253
NM	$2,190	$2,095	$5,044
WI	$2,183	$1,781	$2,261
PA	$2,122	$2,002	$2,770
AR	$2,102	$2,042	$2,386
MI	$2,101	$1,201	$2,311
WA	$2,060	$1,678	$2,933
VA	$2,042	$1,887	$2,092
ID	$2,042	$1,815	$5,659
LA	$2,002	$1,902	$2,733
KS	$1,750	$1,582	$2,116
NE	$1,740	$1,265	$2,708
HI	$1,682	$1,063	$2,502

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

UT	$5,183	$2,552	$5,659	$75	$7,484	31	70	1,788
MT	$4,944	$2,406	$6,828	$1,665	$7,673	8	38	202
MD	$3,846	$3,792	$4,121	$3,441	$4,396	3	9	11
CO	$3,666	$2,454	$6,560	$654	$26,708	39	74	1,468
NV	$3,614	$2,386	$3,703	$358	$5,066	10	97	198
NC	$3,259	$2,296	$3,281	$775	$5,883	38	61	1,039
IL	$3,183	$2,239	$5,025	$1,149	$9,590	44	123	532
IA	$3,174	$2,126	$4,026	$1,098	$5,841	18	36	232
MS	$3,171	$2,231	$3,711	$937	$5,732	13	41	210
AZ	$3,149	$2,410	$4,121	$856	$17,643	23	41	224
MA	$3,066	$2,930	$3,664	$1,166	$7,991	22	20	148
DE	$3,063	$2,083	$8,504	$2,042	$9,552	2 ⚠ thin data	6	17
OK	$3,003	$2,102	$3,422	$167	$8,808	25	31	157
OH	$2,786	$2,234	$3,979	$770	$10,296	48	48	532
AL	$2,772	$2,234	$2,772	$915	$4,975	11	29	120
SD	$2,750	$2,341	$3,240	$1,881	$4,990	6	17	38
ME	$2,723	$2,669	$3,268	$1,236	$4,616	18	14	118
NH	$2,723	$2,224	$2,777	$54	$8,776	8	31	238
WV	$2,723	$2,002	$3,022	$936	$4,946	8	19	56
RI	$2,669	$893	$3,653	$201	$15,292	7	22	59
VT	$2,669	$2,607	$2,723	$2,220	$3,737	2 ⚠ thin data	17	31
MO	$2,669	$2,066	$3,898	$912	$11,692	14	51	215
PR	$2,551	$2,551	$3,327	$2,551	$3,846	3	6	7
NY	$2,543	$2,144	$3,069	$140	$21,654	50	116	1,593
DC	$2,506	$2,229	$5,065	$870	$6,839	1 ⚠ thin data	16	32
WY	$2,490	$2,030	$2,698	$912	$3,063	3	4	4
CT	$2,427	$2,034	$3,054	$191	$13,834	11	35	199
AK	$2,410	$2,386	$2,983	$2,291	$12,866	2 ⚠ thin data	6	12
ND	$2,406	$2,406	$2,490	$746	$4,908	7	31	80
CA	$2,406	$2,209	$3,264	$1	$21,591	93	323	2,448
TX	$2,367	$2,042	$3,846	<$1	$58,601	177	234	7,592
IN	$2,340	$1,866	$3,023	$609	$29,736	21	123	494
SC	$2,296	$2,187	$3,182	<$1	$7,677	24	58	387
MN	$2,290	$2,195	$3,664	$477	$18,849	43	59	934
OR	$2,253	$2,042	$2,732	$817	$11,160	12	19	176
NJ	$2,231	$2,144	$3,324	$1,146	$9,487	32	49	413
FL	$2,231	$2,125	$2,359	$98	$8,748	102	141	2,630
GA	$2,231	$2,144	$3,846	$118	$27,743	18	52	229
KY	$2,199	$2,144	$2,800	$889	$5,468	23	70	555
TN	$2,198	$2,146	$2,253	$552	$6,632	37	83	1,209
NM	$2,190	$2,095	$5,044	$1,995	$9,841	10	36	124
WI	$2,183	$1,781	$2,261	$370	$16,795	27	77	349
PA	$2,122	$2,002	$2,770	$40	$12,426	37	79	1,031
AR	$2,102	$2,042	$2,386	$2,002	$5,005	8	38	106
MI	$2,101	$1,201	$2,311	$93	$10,634	41	98	839
WA	$2,060	$1,678	$2,933	$1,062	$14,596	25	26	652
VA	$2,042	$1,887	$2,092	$3	$4,616	29	34	344
ID	$2,042	$1,815	$5,659	$865	$214,425	8	63	178
LA	$2,002	$1,902	$2,733	$870	$5,983	16	55	333
KS	$1,750	$1,582	$2,116	$362	$28,526	15	87	277
NE	$1,740	$1,265	$2,708	$385	$4,084	5	9	27
HI	$1,682	$1,063	$2,502	$1	$3,200	8	14	106