L0484
HCPCSTLSO rigid plastic cust fab
Based on the latest published hospital price files, code L0484 (TLSO rigid plastic cust fab) appears at 4 hospitals with disclosed cash prices from $1,334 to $3,050. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare L0484 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code L0484 vary by about 2.3× across the 2 hospitals with disclosed prices here — from $1,334 to $3,050. Shopping around can matter.
Lowest cash price by hospital
Cash price by city
Reflects your current filters.
- Menomonee Falls · 1 hospital$1,334
- Mission Viejo · 1 hospital$3,050
4 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| TLSO rigid plastic cust fab Outpatient | Endeavor Health Edward Hospital | L0484 HCPCS | — | — | $2,239 – $3,607 | — | |
| TLSO rigid plastic cust fab Outpatient | University of Chicago Medical Center | L0484 HCPCS | — | — | — | — | |
| HC TLSO RIGID PLASTIC CUSTOM FAB Outpatient | Froedtert Menomonee Falls Hospital | L0484 HCPCS | $2,426 | $1,334 | $728 – $2,261 | — | |
| HC BRACE TLSO TRIPLANR CUST L0484 Inpatient & outpatient | Providence Mission Hospital - Mission Viejo | L0484 HCPCS | $6,353 | $3,050 | — | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish L0484 prices
Open a hospital to see this code in the context of its full published prices.
Code L0484: frequently asked
- What does code L0484 cost?
- Across the published hospital price files, the disclosed cash price for L0484 ranges from $1,334 to $3,050. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code L0484?
- L0484 is the billing code hospitals use to identify "TLSO rigid plastic cust fab" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.