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
Lso sc r pos/lat pnl pre ots
The hospitals that file a Regence 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.
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30 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 2 | $227.30 | $149.82 – $304.78 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $318.66 | $318.66 – $318.66 |
| 3 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 2 | $227.30 | $149.82 – $304.78 |
| 4 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $99.04 | $99.04 – $99.04 |
| 5 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 6 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · fee schedule · outpatient | 1 | $307.27 | $307.27 – $307.27 |
| 7 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · fee schedule · outpatient | 1 | $307.27 | $307.27 – $307.27 |
| 8 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · fee schedule · outpatient | 1 | $146.23 | $146.23 – $146.23 |
| 9 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 10 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 11 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · fee schedule · outpatient | 1 | $155.00 | $155.00 – $155.00 |
| 12 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT facility · fee schedule · outpatient | 1 | $307.27 | $307.27 – $307.27 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 17 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · fee schedule · outpatient | 1 | $155.00 | $155.00 – $155.00 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital Provo, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 19 | IHC Health Services, Inc,. DBA Intermountain Health Alta View Hospital Sandy, UT facility · fee schedule · outpatient | 1 | $152.08 | $152.08 – $152.08 |
| 20 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 2 | $91.26 | $83.48 – $99.04 |
| 21 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 5 | $87.52 | $81.17 – $99.04 |
| 22 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 5 | $92.16 | $83.48 – $99.04 |
| 23 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 5 | $87.52 | $81.17 – $99.04 |
| 24 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 1 | $99.04 | $99.04 – $99.04 |
| 25 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 2 | $95.90 | $92.76 – $99.04 |
← Payers reporting HCPCS L0649 · Snapshot 20261108T055240Z-43b7dac7