Flexible lumbar-sacral back brace at Hca Florida Raulerson 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, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di

OKEECHOBEE, FL

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How this price compares nationally

Hca Florida Raulerson Hospital’s median price of $86 is 25% above the median hospital's median price ($69), higher than 63% of the 1,047 hospitals reporting HCPCS L0628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0628 at Hca Florida Raulerson 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	Humana tricr fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
2	Devoted mcr fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
3	Humana mgmcrhmo fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
4	Humana mgmcrppo fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
5	UnitedHealthcare gvt fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
6	Blue Cross Blue Shield mcrhmo fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
7	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
8	UnitedHealthcare mcr fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
9	Aetna mcr fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
10	Cigna Healthspring mcr fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
11	Amerihealth Caritas mgmcr fee schedule · outpatient	$101	$101	—	—	—	$101 – $101

Last updated: Mar 1, 2026

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