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
BRACE ORTH PLVC SCRL BEL
Lee's Summit, MO
See all hospitals reporting HCPCS L0621 →Price type
Lee's Summit Medical Center’s median price of $204 is 159% above the median hospital's median price ($79), higher than 90% of the 1,124 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 26 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 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Blue Cross Blue Shield tricare fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 4 | Devoted mgmcr fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Humana mgmcrhmo fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 6 | Humana mgmcrppo fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 7 | Humana pffs fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 8 | UnitedHealthcare vaccn fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 9 | Cigna healthspringmgmcr fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 10 | UnitedHealthcare mgmcr fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 11 | WellCare mcr fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 12 | Anthem missouricaremgmcd percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 13 | Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $197 | $197 | — | — | — | $197 – $197 |
| 15 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 16 | Aetna Better Health mcd percent of total billed charges · outpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 17 | Aetna fhmedicalrental percent of total billed charges · outpatientfrom % of charges | $315 | $315 | — | — | — | $315 – $315 |
| 18 | Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 19 | Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 20 | Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 21 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | — | $337 – $337 |
| 22 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $353 | $353 | — | — | — | $353 – $353 |
| 23 | Aetna nationalnap percent of total billed charges · outpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 24 | MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges | $580 | $580 | — | — | — | $580 – $580 |
| 25 | Cigna commbh percent of total billed charges · outpatientfrom % of charges | $627 | $627 | — | — | — | $627 – $627 |
Last updated: Mar 1, 2026
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