L0486 (HCPCS) by state — Price Transparency

HCPCS · across United States

L0486 — Tlso, Triplanar Control, Two Piece Rigid Plastic Shell With Interface Liner, Multiple Straps And Closures, Posterior Extends From Sacrococcygeal Junction And Terminates Just Inferior To Scapular Spine

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

$2,663 National median

$2,167 – $4,523 IQR (p25 – p75)

1,499 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: $3,859.

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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 L0486 (HCPCS), with interquartile range
State	Median	p25	p75
WY	$7,674	$6,030	$8,540
DE	$6,859	$2,948	$7,775
UT	$5,248	$2,586	$5,730
MT	$5,006	$2,438	$6,913
CO	$4,275	$2,438	$7,532
MD	$4,092	$4,034	$4,384
MA	$3,971	$3,147	$5,916
GA	$3,949	$2,167	$4,663
MN	$3,917	$2,465	$4,828
IL	$3,771	$2,515	$6,145
PR	$3,554	$3,554	$4,001
OH	$3,481	$2,589	$4,408
IA	$3,399	$2,230	$4,198
CT	$3,282	$2,524	$3,897
AZ	$3,259	$2,584	$4,720
CA	$3,190	$2,381	$4,677
TX	$3,187	$2,204	$4,538
MS	$3,142	$2,210	$3,680
NV	$3,027	$2,533	$3,914
NC	$2,931	$2,167	$3,250
ME	$2,889	$2,832	$3,514
NH	$2,889	$2,616	$5,100
VT	$2,832	$2,766	$2,889
RI	$2,832	$1,354	$3,882
KY	$2,821	$2,124	$6,809
DC	$2,814	$2,503	$5,689
AK	$2,714	$2,687	$3,359
ID	$2,670	$1,866	$3,909
NY	$2,640	$2,227	$4,037
KS	$2,554	$2,074	$5,574
WI	$2,515	$2,465	$3,713
SD	$2,488	$1,827	$3,040
IN	$2,452	$2,047	$2,832
ND	$2,438	$2,243	$3,627
OR	$2,383	$2,253	$4,758
NM	$2,368	$2,260	$3,970
AL	$2,362	$2,124	$4,412
FL	$2,297	$2,167	$4,605
SC	$2,275	$2,167	$3,510
PA	$2,275	$2,124	$4,507
TN	$2,275	$2,157	$4,879
WV	$2,275	$2,167	$2,682
MI	$2,231	$1,665	$2,769
WA	$2,225	$1,942	$3,851
MO	$2,167	$2,084	$2,899
VA	$2,167	$1,992	$2,228
LA	$2,160	$2,052	$2,670
AR	$2,119	$1,852	$2,268
OK	$2,119	$1,557	$2,975
NJ	$1,800	$1,386	$2,336
NE	$1,780	$1,503	$2,443
HI	$1,197	$1,163	$2,817

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

WY	$7,674	$6,030	$8,540	$984	$9,376	5	22	125
DE	$6,859	$2,948	$7,775	$223	$10,134	3	15	38
UT	$5,248	$2,586	$5,730	$76	$7,577	31	70	1,788
MT	$5,006	$2,438	$6,913	$1,766	$7,769	8	38	202
CO	$4,275	$2,438	$7,532	$708	$33,392	38	75	1,624
MD	$4,092	$4,034	$4,384	$3,609	$4,677	3	9	11
MA	$3,971	$3,147	$5,916	$392	$8,513	27	243	1,098
GA	$3,949	$2,167	$4,663	$117	$23,447	30	102	1,033
MN	$3,917	$2,465	$4,828	$535	$21,170	43	63	1,369
IL	$3,771	$2,515	$6,145	$314	$26,250	51	211	1,162
PR	$3,554	$3,554	$4,001	$3,554	$4,092	3	6	7
OH	$3,481	$2,589	$4,408	$816	$11,562	49	153	738
IA	$3,399	$2,230	$4,198	$319	$6,126	32	87	829
CT	$3,282	$2,524	$3,897	$141	$14,677	11	35	198
AZ	$3,259	$2,584	$4,720	$271	$19,108	27	86	414
CA	$3,190	$2,381	$4,677	$1	$38,223	120	404	5,039
TX	$3,187	$2,204	$4,538	$103	$85,910	181	281	8,468
MS	$3,142	$2,210	$3,680	$932	$5,722	13	41	210
NV	$3,027	$2,533	$3,914	$388	$8,689	21	105	476
NC	$2,931	$2,167	$3,250	<$1	$21,254	49	91	1,312
ME	$2,889	$2,832	$3,514	$730	$4,911	19	15	129
NH	$2,889	$2,616	$5,100	$127	$60,835	9	41	318
VT	$2,832	$2,766	$2,889	$2,355	$3,965	2 ⚠ thin data	17	31
RI	$2,832	$1,354	$3,882	$304	$16,224	7	22	59
KY	$2,821	$2,124	$6,809	$811	$20,656	40	113	1,243
DC	$2,814	$2,503	$5,689	$977	$7,681	1 ⚠ thin data	16	32
AK	$2,714	$2,687	$3,359	$2,579	$14,487	2 ⚠ thin data	6	12
ID	$2,670	$1,866	$3,909	$498	$227,493	10	164	443
NY	$2,640	$2,227	$4,037	$89	$23,023	63	248	2,233
KS	$2,554	$2,074	$5,574	$399	$31,425	18	143	606
WI	$2,515	$2,465	$3,713	$1,122	$23,144	31	96	375
SD	$2,488	$1,827	$3,040	$75	$4,860	5	15	48
IN	$2,452	$2,047	$2,832	$119	$30,984	23	150	561
ND	$2,438	$2,243	$3,627	$838	$6,110	7	34	160
OR	$2,383	$2,253	$4,758	$1,529	$11,840	10	26	135
NM	$2,368	$2,260	$3,970	$456	$10,619	11	53	169
AL	$2,362	$2,124	$4,412	$1,390	$19,029	12	70	155
FL	$2,297	$2,167	$4,605	<$1	$30,433	120	191	4,355
SC	$2,275	$2,167	$3,510	<$1	$19,906	25	60	410
PA	$2,275	$2,124	$4,507	$40	$13,184	45	115	1,387
TN	$2,275	$2,157	$4,879	$71	$15,038	43	102	1,736
WV	$2,275	$2,167	$2,682	$994	$11,564	14	59	259
MI	$2,231	$1,665	$2,769	$93	$11,563	43	405	1,885
WA	$2,225	$1,942	$3,851	$31	$15,486	27	89	816
MO	$2,167	$2,084	$2,899	$234	$8,355	19	155	663
VA	$2,167	$1,992	$2,228	$9	$44,590	34	56	520
LA	$2,160	$2,052	$2,670	$291	$7,279	19	90	465
AR	$2,119	$1,852	$2,268	$627	$5,401	12	100	389
OK	$2,119	$1,557	$2,975	$189	$20,166	31	100	649
NJ	$1,800	$1,386	$2,336	$5	$10,087	32	78	1,683
NE	$1,780	$1,503	$2,443	$297	$5,013	14	21	232
HI	$1,197	$1,163	$2,817	$1,129	$2,817	6	7	56