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
Boulder, CO
See all hospitals reporting HCPCS L0639 →Price type
Boulder Community Health’s median price of $1.2k is 27% below the median hospital's median price ($1.6k), higher than 10% 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: 8 payers, 19 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 | Aetna medicare advantage professional · fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 2 | UnitedHealthcare commercial professional · fee schedule · both | $773 | $773 | — | — | — | $773 – $773 |
| 3 | Anthem commercial professional · fee schedule · both | $962 | $962 | — | — | — | $962 – $962 |
| 4 | Anthem managed care professional · fee schedule · both | $962 | $962 | — | — | — | $962 – $962 |
| 5 | Aetna commercial professional · fee schedule · both | $1.0k | $1.0k | $311 | 31% | — | $707 – $1.3k |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $1.2k | $1.2k | $129 | 11% | — | $1.0k – $1.3k |
| 7 | Aetna medicare advantage facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Anthem medicare advantage facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Humana medicare advantage professional · fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Humana medicare advantage facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Kaiser medicare advantage facility · case rate · outpatient | $1.3k | $1.3k | $6 | 0% | — | $1.3k – $1.3k |
| 13 | Devoted medicare advantage facility · case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | Kaiser commercial professional · fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | MultiPlan commercial professional · fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 17 | Phcs commercial professional · fee schedule · both | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Kaiser commercial facility · case rate · outpatient | $2.8k | $2.8k | $340 | 12% | — | $2.5k – $3.2k |
| 19 | Kaiser managed care facility · case rate · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Sep 16, 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.