Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated cost in Ohio
$1,291
Cash from
$1,291
Cash range · 1 distinct price
$433
Insurer rates from
17
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| The Cleveland Clinic Foundation | Brunswick | $1,291 | $433 | Jun 2026122 days old |
| LUTHERAN HOSPITAL | Cleveland | — | $522 | Jun 2026123 days old |
| Fairview Hospital | Cleveland | — | $549 | Jun 2026123 days old |
| Metrohealth System | Cleveland | — | $1,129 | Apr 2026198 days old |
| Berger Hospital | Circleville | — | $2,073 | Apr 2026198 days old |
| Dayton Osteopathic Hospital | Dayton | — | $2,073 | Apr 2026198 days old |
| The Good Samaritan Hospital of Cincinnati, OH | Cincinnati | — | $2,073 | Apr 2026198 days old |
| Riverside Methodist Hospital | Columbus | — | $2,073 | Apr 2026198 days old |
| Bethesda Hospital Inc. | Lebanon | — | $2,073 | Apr 2026198 days old |
| Kettering Medical Center 2 locations · one published price | Dayton, Miamisburg | — | $2,073 | Apr 2026198 days old |
| Beavercreek Medical Center | Dayton | — | $2,073 | Apr 2026198 days old |
| Fort Hamilton Hospital | Hamilton | — | $2,073 | Apr 2026198 days old |
| Clinton Memorial Hospital | Wilmington | — | $2,073 | Apr 2026198 days old |
| Marion General Hospital | Marion | — | $2,073 | Apr 2026198 days old |
| Greene Memorial Hospital Inc | Xenia | — | $2,073 | Apr 2026198 days old |
| McCullough-Hyde Memorial Hospital, Inc. | Oxford | — | $2,073 | Apr 2026198 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterTLSO rigid lined custom fab
- Berger HospitalTLSO rigid lined custom fab
- Bethesda Hospital Inc.TLSO rigid lined custom fab
- Clinton Memorial HospitalTLSO rigid lined custom fab
- Dayton Osteopathic HospitalTLSO rigid lined custom fab
- Fairview HospitalTlso rigid lined custom fab
- Fort Hamilton HospitalTLSO rigid lined custom fab
- Greene Memorial Hospital IncTLSO rigid lined custom fab
- HEART HOSP OF AUSTINTlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKTlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine
Compare prices near you
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Price it for me →Estimates from published hospital rates — not your exact bill.