Flexible lumbar-sacral back brace at Dignity Community Care

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ORTHO L0628 51X-67

Glendale, CA

See all hospitals reporting HCPCS L0628 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $228 is 233% above the median hospital's median price ($69), higher than 89% of the 1,042 hospitals reporting HCPCS L0628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0628 at Dignity Community Care

Negotiated rates from the hospital’s own file: 9 payers, 29 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	Anthem medicaid\|all plans fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
2	Molina medicaid\|all plans fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
5	Molina medicaid\|all plans fee schedule · inpatient	$132	$165	$81	49%	—	$77 – $292
6	Anthem medicaid\|all plans fee schedule · inpatient	$144	$180	$88	49%	—	$84 – $318
7	Cigna commercial\|all other plans fee schedule · inpatient	$173	$216	$105	49%	—	$101 – $381
8	Cigna commercial\|ppo fee schedule · inpatient	$173	$216	$105	49%	—	$101 – $381
9	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$293	$367	$179	49%	—	$171 – $648
10	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$299	$374	$182	49%	—	$174 – $660
11	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$299	$374	$182	49%	—	$174 – $660
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$316	$395	$193	49%	—	$184 – $699
13	Kaiser commercial\|all plans fee schedule · inpatient	$322	$403	$196	49%	—	$188 – $711
14	Kaiser commercial\|all plans fee schedule · outpatient	$322	$403	$196	49%	—	$188 – $711
15	Blue Cross Blue Shield commercial\|magellan fee schedule · inpatient	$345	$431	$210	49%	—	$201 – $762
16	Blue Cross Blue Shield commercial\|magellan fee schedule · outpatient	$345	$431	$210	49%	—	$201 – $762
17	First Health commercial\|all plans fee schedule · inpatient	$374	$467	$228	49%	—	$218 – $826
18	First Health commercial\|all plans fee schedule · outpatient	$374	$467	$228	49%	—	$218 – $826
19	Cigna commercial\|all other plans fee schedule · outpatient	$391	$489	$239	49%	—	$228 – $864
20	Cigna commercial\|ppo fee schedule · outpatient	$391	$489	$239	49%	—	$228 – $864
21	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$431	$539	$263	49%	—	$251 – $953
22	MultiPlan commercial\|all plans fee schedule · inpatient	$460	$575	$281	49%	—	$268 – $1.0k
23	MultiPlan commercial\|all plans fee schedule · outpatient	$460	$575	$281	49%	—	$268 – $1.0k
24	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$495	$618	$302	49%	—	$288 – $1.1k
25	Anthem commercial\|mcs fee schedule · inpatient	$546	$683	$333	49%	—	$318 – $1.2k

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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