Back brace for lower spine with rigid back panel at Hca Florida Memorial 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

Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert

JACKSONVILLE, FL

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How this price compares nationally

Hca Florida Memorial Hospital’s median price of $126 is about the same as the median hospital's median price ($126), higher than 50% of the 841 hospitals reporting HCPCS L0643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0643 at Hca Florida Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 11 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	Aetna mcr fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
2	Devoted mcr fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
3	Humana mgmcrhmo fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
4	Humana mgmcrppo fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
5	Humana tricare fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
6	UnitedHealthcare vaccn fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
7	Blue Cross Blue Shield mcrhmo fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
8	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
9	UnitedHealthcare mcr fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
10	WellCare mcr fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
11	Cigna Healthspring mcr fee schedule · outpatient	$135	$135	—	—	—	$135 – $135

Last updated: Mar 1, 2026

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