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
BRACE BACK EPIC LO 627
Low
$65
Average
$229
Median
$204
High
$667
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 5.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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53 hospital rates
iThe hospitals that file a Highmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $285 | $285 | — | — | — | $285 – $285 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $329 | $364 | $121 | 33% | — | $132 – $658 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $672 | $667 | $204 | 31% | — | $389 – $931 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $285 | $285 | — | — | — | $285 – $285 |
| 6 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $314 | $358 | $115 | 32% | — | $132 – $627 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $527 | $585 | $208 | 35% | — | $393 – $892 |
| 8 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $402 | $402 | — | — | — | $402 – $402 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 10 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $285 | $285 | — | — | — | $285 – $285 |
| 11 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $369 | $464 | $229 | 49% | — | $219 – $952 |
| 12 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 15 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 16 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $285 | $285 | — | — | — | $285 – $285 |
| 17 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $339 | $372 | $125 | 34% | — | $132 – $677 |
| 18 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 19 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $264 | $251 | $103 | 41% | — | $123 – $352 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 21 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 22 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 23 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 24 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $264 | $251 | $103 | 41% | — | $123 – $352 |
| 25 | Plymouth Medical Center Plymouth, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
← Payers reporting HCPCS L0642 · Snapshot 20261111T120946Z-9134e7f7