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
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di
Independence, MO
See all hospitals reporting HCPCS L0628 →Price type
Centerpoint Medical Center’s median price of $64 is 7% below the median hospital's median price ($69), higher than 30% of the 1,047 hospitals reporting HCPCS L0628. 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, 11 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Blue Cross Blue Shield tricare fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Devoted mgmcr fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Humana mgmcrhmo fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Humana mgmcrppo fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 7 | Humana pffs fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 8 | UnitedHealthcare vaccn fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 9 | Cigna healthspringmgmcr fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 10 | UnitedHealthcare mgmcr fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 11 | WellCare mcr fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
Last updated: Mar 1, 2026
See Flexible lumbar-sacral back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.