Back brace for lower spine with rigid back panel 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 L0643 115X-150

Merced, CA

See all hospitals reporting HCPCS L0643 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $173 is 37% above the median hospital's median price ($126), higher than 86% of the 836 hospitals reporting HCPCS L0643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0643 at Dignity Health

Negotiated rates from the hospital’s own file: 9 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	Kaiser medicaid\|< 21 fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
2	Kaiser medicaid\|> 21 fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
3	Molina medicaid\|< 21 fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
4	Molina medicaid\|> 21 fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
5	Anthem medicaid\|< 21 fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
6	Anthem medicaid\|> 21 fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
7	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
8	Cigna commercial\|all other plans fee schedule · inpatient	$173	$173	—	—	—	$173 – $173
9	Cigna commercial\|all other plans fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
10	Cigna commercial\|ppo fee schedule · inpatient	$173	$173	—	—	—	$173 – $173
11	Cigna commercial\|ppo fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
12	Kaiser commercial\|all plans fee schedule · inpatient	$184	$184	—	—	—	$184 – $184
13	Kaiser commercial\|all plans fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
14	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$197	$197	—	—	—	$197 – $197
15	Anthem commercial\|exchange fee schedule · outpatient	$202	$202	—	—	—	$202 – $202
16	First Health commercial\|all plans fee schedule · inpatient	$213	$213	—	—	—	$213 – $213
17	First Health commercial\|all plans fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
18	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
19	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
20	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$231	$231	—	—	—	$231 – $231
21	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$234	$234	—	—	—	$234 – $234
22	MultiPlan commercial\|all plans fee schedule · inpatient	$250	$250	—	—	—	$250 – $250
23	MultiPlan commercial\|all plans fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
24	Aetna commercial\|all other plans fee schedule · inpatient	$255	$255	—	—	—	$255 – $255
25	Aetna commercial\|hmo fee schedule · inpatient	$255	$255	—	—	—	$255 – $255

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Back brace for lower spine with rigid back panel pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.