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.
Original text from hospital filings
ORTHO L0976 115X-150
San Bernardino, CA
See all hospitals reporting HCPCS L0976 →Price type
Dignity Health’s median price of $270 is 17% above the median hospital's median price ($231), higher than 81% of the 878 hospitals reporting HCPCS L0976. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Molina medicaid|< 21 fee schedule · inpatient | $152 | $152 | $20 | 13% | — | $132 – $173 |
| 2 | Molina medicaid|> 21 fee schedule · inpatient | $152 | $152 | $20 | 13% | — | $132 – $173 |
| 3 | Anthem medicaid|all plans fee schedule · inpatient | $166 | $166 | $22 | 13% | — | $144 – $188 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 8 | Kaiser commercial|all plans fee schedule · inpatient | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 9 | Kaiser commercial|all plans fee schedule · outpatient | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $225 | $225 | $30 | 13% | — | $196 – $255 |
| 11 | Aetna commercial|gatekeeper fee schedule · inpatient | $252 | $252 | $33 | 13% | — | $219 – $285 |
| 12 | Anthem commercial|non-mcs hmo fee schedule · outpatient | $272 | $272 | $36 | 13% | — | $236 – $308 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $285 | $285 | $38 | 13% | — | $247 – $323 |
| 14 | Anthem commercial|non-mcs ppo fee schedule · outpatient | $285 | $285 | $38 | 13% | — | $247 – $323 |
| 15 | Cigna commercial|all other plans fee schedule · inpatient | $292 | $292 | $39 | 13% | — | $253 – $330 |
| 16 | Cigna commercial|ppo fee schedule · inpatient | $292 | $292 | $39 | 13% | — | $253 – $330 |
| 17 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $305 | $305 | $40 | 13% | — | $265 – $345 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $345 | $345 | $46 | 13% | — | $299 – $390 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $364 | $364 | $48 | 13% | — | $316 – $413 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $364 | $364 | $48 | 13% | — | $316 – $413 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $384 | $384 | $51 | 13% | — | $334 – $435 |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $404 | $404 | $53 | 13% | — | $351 – $458 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $437 | $437 | $58 | 13% | — | $380 – $495 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $437 | $437 | $58 | 13% | — | $380 – $495 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $530 | $530 | $70 | 13% | — | $460 – $600 |
Last updated: Feb 28, 2026
See Full corset spinal orthosis (LSO brace) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.