Lumbar-sacral back brace with rigid posterior panels at Fairview Bethesda Hospital

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

Lso sc r pos/lat pnl pre ots

St. Paul, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Bethesda Hospital’s median price of $226 is 1% above the median hospital's median price ($223), higher than 55% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0649 at Fairview Bethesda Hospital

Negotiated rates from the hospital’s own file: 6 payers, 23 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	Medica minnesota care/accessability/choice care government fee schedule · both	$206.46	$206.46	$206.46 – $206.46
2	Sanford Health Plan medicare advantage fee schedule · outpatient	$209.26	$209.26	$209.26 – $209.26
3	UnitedHealthcare medicare advantage fee schedule · outpatient	$209.26	$209.26	$209.26 – $209.26
4	WellCare medicare advantage fee schedule · outpatient	$209.26	$209.26	$209.26 – $209.26
5	Ucare medicare advantage/msho fee schedule · outpatient	$212.40	$212.40	$212.40 – $212.40
6	Bcbs Mn medicare advantage fee schedule · outpatient	$217.63	$217.63	$217.63 – $217.63
7	Medica medicare advantage fee schedule · outpatient	$221.82	$221.82	$221.82 – $221.82
8	Ucare pmap fee schedule · outpatient	$223.68	$223.68	$223.68 – $223.68
9	Bcbs Mn managed medicaid fee schedule · both	$224.89	$224.89	$224.89 – $224.89
10	Medica medicare advantage fee schedule · both	$225.42	$225.42	$225.42 – $225.42
11	Medica msho fee schedule · both	$229.67	$229.67	$229.67 – $229.67
12	Ucare pmap fee schedule · both	$231.64	$231.64	$231.64 – $231.64
13	Bcbs Mn aware federal fee schedule · both	$260.30	$260.30	$260.30 – $260.30
14	Bcbs Mn commercial fee schedule · both	$264.99	$264.99	$264.99 – $264.99
15	Ucare individual and family with m health fairview fee schedule · outpatient	$368.09	$368.09	$368.09 – $368.09
16	Medica bold fee schedule · both	$389.28	$389.28	$389.28 – $389.28
17	Medica vantage si fee schedule · both	$421.72	$421.72	$421.72 – $421.72
18	Medica city of st paul and essential/uplan fee schedule · both	$432.53	$432.53	$432.53 – $432.53
19	Medica individual and family, elect fee schedule · both	$432.53	$432.53	$432.53 – $432.53
20	Medica choice fee schedule · both	$447.61	$447.61	$447.61 – $447.61
21	Ucare individual and family fee schedule · outpatient	$480.88	$480.88	$480.88 – $480.88
22	UnitedHealthcare commercial fee schedule · both	$641.62	$641.62	$641.62 – $641.62
23	UnitedHealthcare core fee schedule · both	$641.62	$641.62	$641.62 – $641.62

Last updated: Jan 29, 2026

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