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

Mt Shasta, 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 $271 is 294% above the median hospital's median price ($69), higher than 91% 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, 24 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	$72	$72	—	—	—	$72 – $72
2	Aetna medicare\|all plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
3	Anthem medicare\|all plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
4	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
5	Humana medicare\|all plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
6	Kaiser medicare\|all plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
7	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
8	Anthem medicaid\|all plans fee schedule · inpatient	$83	$83	—	—	—	$83 – $83
9	Cigna commercial\|all other plans fee schedule · inpatient	$271	$271	—	—	—	$271 – $271
10	Cigna commercial\|all other plans fee schedule · outpatient	$271	$271	—	—	—	$271 – $271
11	Cigna commercial\|ppo fee schedule · inpatient	$271	$271	—	—	—	$271 – $271
12	Cigna commercial\|ppo fee schedule · outpatient	$271	$271	—	—	—	$271 – $271
13	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$284	$284	—	—	—	$284 – $284
14	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$284	$284	—	—	—	$284 – $284
15	Aetna commercial\|all other plans fee schedule · outpatient	$287	$287	—	—	—	$287 – $287
16	Aetna commercial\|hmo fee schedule · outpatient	$287	$287	—	—	—	$287 – $287
17	Aetna commercial\|ppo fee schedule · outpatient	$287	$287	—	—	—	$287 – $287
18	Aetna commercial\|all other plans fee schedule · inpatient	$290	$290	—	—	—	$290 – $290
19	Aetna commercial\|hmo fee schedule · inpatient	$290	$290	—	—	—	$290 – $290
20	Aetna commercial\|ppo fee schedule · inpatient	$290	$290	—	—	—	$290 – $290
21	UnitedHealthcare commercial\|all other plans fee schedule · inpatient	$290	$290	—	—	—	$290 – $290
22	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$290	$290	—	—	—	$290 – $290
23	MultiPlan commercial\|all plans fee schedule · inpatient	$323	$323	—	—	—	$323 – $323
24	MultiPlan commercial\|all plans fee schedule · outpatient	$323	$323	—	—	—	$323 – $323

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.