Lumbar back brace with rigid rear panel 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 L0630 88X-115

Glendale, CA

See all hospitals reporting HCPCS L0630 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $299 is 45% above the median hospital's median price ($206), higher than 82% of the 929 hospitals reporting HCPCS L0630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0630 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	$127	$127	—	—	—	$127 – $127
2	Molina medicaid\|all plans fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
5	Molina medicaid\|all plans fee schedule · inpatient	$173	$176	$38	21%	—	$132 – $224
6	Anthem medicaid\|all plans fee schedule · inpatient	$188	$192	$41	21%	—	$144 – $244
7	Cigna commercial\|all other plans fee schedule · inpatient	$225	$230	$49	21%	—	$173 – $293
8	Cigna commercial\|ppo fee schedule · inpatient	$225	$230	$49	21%	—	$173 – $293
9	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$383	$391	$84	21%	—	$293 – $497
10	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$390	$399	$85	21%	—	$299 – $507
11	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$390	$399	$85	21%	—	$299 – $507
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$413	$422	$90	21%	—	$316 – $536
13	Kaiser commercial\|all plans fee schedule · inpatient	$420	$429	$92	21%	—	$322 – $546
14	Kaiser commercial\|all plans fee schedule · outpatient	$420	$429	$92	21%	—	$322 – $546
15	Blue Cross Blue Shield commercial\|magellan fee schedule · inpatient	$450	$460	$98	21%	—	$345 – $585
16	Blue Cross Blue Shield commercial\|magellan fee schedule · outpatient	$450	$460	$98	21%	—	$345 – $585
17	First Health commercial\|all plans fee schedule · inpatient	$488	$498	$106	21%	—	$374 – $634
18	First Health commercial\|all plans fee schedule · outpatient	$488	$498	$106	21%	—	$374 – $634
19	Cigna commercial\|all other plans fee schedule · outpatient	$510	$521	$111	21%	—	$391 – $663
20	Cigna commercial\|ppo fee schedule · outpatient	$510	$521	$111	21%	—	$391 – $663
21	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$563	$575	$123	21%	—	$431 – $731
22	MultiPlan commercial\|all plans fee schedule · inpatient	$600	$613	$131	21%	—	$460 – $780
23	MultiPlan commercial\|all plans fee schedule · outpatient	$600	$613	$131	21%	—	$460 – $780
24	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$645	$659	$141	21%	—	$495 – $839
25	Anthem commercial\|mcs fee schedule · inpatient	$713	$728	$156	21%	—	$546 – $926

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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