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 s/c shell/panel prefab
Devils Lake, ND
See all hospitals reporting HCPCS L0639 →Price type
Altru Hospital Devils Lake’s median price of $1.6k is 2% below the median hospital's median price ($1.6k), higher than 40% of the 946 hospitals reporting HCPCS L0639. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $531 | $531 | — | — | — | $531 – $531 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $958 | $958 | — | — | — | $958 – $958 |
| 4 | Aetna medicare managed care plan facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Medica all commercial plans facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $1.8k | $1.8k | $258 | 15% | — | $1.5k – $2.0k |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $1.8k | $1.8k | $483 | 26% | — | $1.4k – $2.3k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Mar 1, 2026
See Lumbar-sacral back brace with rigid shell pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.