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
Des Moines, IA
See all hospitals reporting HCPCS L0649 →Price type
Central Iowa Hospital Corporation’s median price of $275 is 23% above the median hospital's median price ($223), higher than 73% 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, 15 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 | UnitedHealthcare hmo fee schedule · both | $171.51 | $171.51 | $171.51 – $171.51 |
| 2 | UnitedHealthcare ppo fee schedule · both | $171.51 | $171.51 | $171.51 – $171.51 |
| 3 | Aetna medicare advantage case rate · outpatient | $216.91 | $216.91 | $216.91 – $216.91 |
| 4 | Molina medicare advantage case rate · outpatient | $216.91 | $216.91 | $216.91 – $216.91 |
| 5 | Wellmark medicare advantage case rate · outpatient | $216.91 | $216.91 | $216.91 – $216.91 |
| 6 | Humana medicare advantage case rate · outpatient | $223.29 | $223.29 | $223.29 – $223.29 |
| 7 | UnitedHealthcare medicare advantage case rate · outpatient | $223.29 | $223.29 | $223.29 – $223.29 |
| 8 | Wellmark commercial fee schedule · both | $274.74 | $274.74 | $274.74 – $274.74 |
| 9 | Wellmark hmo fee schedule · both | $274.74 | $274.74 | $274.74 – $274.74 |
| 10 | Wellmark ppo fee schedule · both | $274.74 | $274.74 | $274.74 – $274.74 |
| 11 | Cigna commercial fee schedule · both | $355.11 | $355.11 | $355.11 – $355.11 |
| 12 | Aetna hmo fee schedule · outpatient | $361.52 | $361.52 | $361.52 – $361.52 |
| 13 | Aetna ppo fee schedule · outpatient | $361.52 | $361.52 | $361.52 – $361.52 |
| 14 | Aetna hmo fee schedule · both | $384.40 | $384.40 | $384.40 – $384.40 |
| 15 | Aetna ppo fee schedule · both | $384.40 | $384.40 | $384.40 – $384.40 |
Last updated: Jan 28, 2026
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