Flexible lumbar-sacral back 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 L0628 67X-88

Long Beach, CA

See all hospitals reporting HCPCS L0628 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $213 is 210% above the median hospital's median price ($69), higher than 87% 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 Health

Negotiated rates from the hospital’s own file: 8 payers, 28 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	$53	$53	—	—	—	$53 – $53
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	Anthem medicaid\|all plans fee schedule · inpatient	$115	$144	$70	49%	—	$67 – $254
6	Molina medicaid\|all plans fee schedule · inpatient	$132	$165	$81	49%	—	$77 – $292
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	Anthem commercial\|exchange fee schedule · outpatient	$196	$244	$119	49%	—	$114 – $432
10	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$264	$264	—	—	—	$264 – $264
11	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$236	$295	$144	49%	—	$137 – $521
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$270	$338	$165	49%	—	$157 – $597
13	Anthem commercial\|all other plans fee schedule · outpatient	$288	$360	$175	49%	—	$168 – $635
14	Anthem commercial\|mcs fee schedule · outpatient	$288	$360	$175	49%	—	$168 – $635
15	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$288	$360	$175	49%	—	$168 – $635
16	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$288	$360	$175	49%	—	$168 – $635
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$299	$374	$182	49%	—	$174 – $660
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$316	$395	$193	49%	—	$184 – $699
19	Aetna commercial\|all other plans fee schedule · inpatient	$334	$417	$203	49%	—	$194 – $737
20	Aetna commercial\|hmo fee schedule · inpatient	$334	$417	$203	49%	—	$194 – $737
21	Aetna commercial\|ppo fee schedule · inpatient	$334	$417	$203	49%	—	$194 – $737
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$374	$467	$228	49%	—	$218 – $826
23	Cigna commercial\|all other plans fee schedule · outpatient	$391	$489	$239	49%	—	$228 – $864
24	Cigna commercial\|ppo fee schedule · outpatient	$391	$489	$239	49%	—	$228 – $864
25	Kaiser commercial\|all plans fee schedule · inpatient	$403	$503	$246	49%	—	$235 – $889

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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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.