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
Tustin, CA
See all hospitals reporting HCPCS L0649 →Price type
Alta Newport Hospital, LLC’s median price of $97 is 56% below the median hospital's median price ($223), higher than 1% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $6.05 | $6.05 | $6.05 – $6.05 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $6.94 | $6.94 | $6.94 – $6.94 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $7.55 | $7.55 | $7.55 – $7.55 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $95.54 | $95.54 | $95.54 – $95.54 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $95.54 | $95.54 | $95.54 – $95.54 |
| 6 | Bcbs Ca medicare advantage facility · case rate · outpatient | $95.54 | $95.54 | $95.54 – $95.54 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $95.54 | $95.54 | $95.54 – $95.54 |
| 8 | Optum commercial hmo facility · case rate · outpatient | $95.54 | $95.54 | $95.54 – $95.54 |
| 9 | Optum medicare advantage facility · case rate · outpatient | $97.45 | $97.45 | $97.45 – $97.45 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $97.45 | $97.45 | $97.45 – $97.45 |
| 11 | Aetna exchange facility · case rate · outpatient | $124.20 | $124.20 | $124.20 – $124.20 |
| 12 | Aetna all gatekeeper plans facility · case rate · outpatient | $481.12 | $481.12 | $481.12 – $481.12 |
| 13 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $481.14 | $481.14 | $481.14 – $481.14 |
Last updated: Mar 18, 2026
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