Prefabricated two-piece cervical-thoracic spinal brace at Dignity Health

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 L0174 254X-331

Folsom, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $187 is 42% below the median hospital's median price ($325), higher than 22% of the 1,311 hospitals reporting HCPCS L0174. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0174 at Dignity Health

Negotiated rates from the hospital’s own file: 9 payers, 35 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	Kaiser commercial\|all plans fee schedule · inpatient	$59	$119	$134	112%	—	$10 – $381
2	Kaiser medicaid\|all plans fee schedule · inpatient	$59	$119	$134	112%	—	$10 – $381
3	Kaiser medicare\|all plans fee schedule · inpatient	$59	$119	$134	112%	—	$10 – $381
4	Anthem medicaid\|all plans fee schedule · inpatient	$61	$124	$140	112%	—	$11 – $397
5	Molina medicaid\|all plans fee schedule · inpatient	$66	$135	$151	112%	—	$12 – $430
6	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$255	$204	$83	41%	—	$45 – $262
7	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$255	$204	$83	41%	—	$45 – $262
8	Cigna commercial\|localplus fee schedule · inpatient	$102	$207	$233	112%	—	$18 – $662
9	Kaiser medicaid\|all plans fee schedule · outpatient	$105	$212	$239	112%	—	$18 – $679
10	Cigna commercial\|all other plans fee schedule · inpatient	$135	$275	$309	112%	—	$24 – $877
11	Cigna commercial\|localplus fee schedule · outpatient	$140	$285	$320	112%	—	$25 – $910
12	Molina medicaid\|all plans fee schedule · outpatient	$255	$286	$164	57%	—	$45 – $493
13	Anthem medicaid\|all plans fee schedule · outpatient	$255	$287	$165	58%	—	$45 – $499
14	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$163	$332	$373	112%	—	$29 – $1.1k
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$168	$342	$384	112%	—	$30 – $1.1k
16	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$173	$352	$396	112%	—	$31 – $1.1k
17	Blue Cross Blue Shield commercial\|aco trio fee schedule · inpatient	$179	$363	$408	112%	—	$32 – $1.2k
18	Cigna commercial\|all other plans fee schedule · outpatient	$189	$383	$431	112%	—	$33 – $1.2k
19	First Health commercial\|all plans fee schedule · inpatient	$191	$389	$437	112%	—	$34 – $1.2k
20	First Health commercial\|all plans fee schedule · outpatient	$191	$389	$437	112%	—	$34 – $1.2k
21	Anthem commercial\|connection epo fee schedule · outpatient	$201	$409	$460	112%	—	$36 – $1.3k
22	Kaiser commercial\|all plans fee schedule · outpatient	$201	$409	$460	112%	—	$36 – $1.3k
23	MultiPlan commercial\|all plans fee schedule · inpatient	$209	$425	$478	112%	—	$37 – $1.4k
24	MultiPlan commercial\|all plans fee schedule · outpatient	$209	$425	$478	112%	—	$37 – $1.4k
25	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · inpatient	$217	$440	$495	112%	—	$38 – $1.4k

Page 1 of 2 · 35 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Prefabricated two-piece cervical-thoracic spinal brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.