Flexible lumbar-sacral back brace at Methodist 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

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $114 is 66% above the median hospital's median price ($69), higher than 78% of the 1,041 hospitals reporting HCPCS L0628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0628 at Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 36 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 mgmcrhmo fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
4	Devoted dualeligible fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
5	Devoted mcrhmo fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
6	Devoted mcrpffs fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
7	Devoted mcrpos fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
8	Devoted mcrppo fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
9	Devoted mcrsnp fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
10	Aetna mcr fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
11	UnitedHealthcare mcr fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
12	WellCare mcrhmo fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
13	WellCare mcrpos fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
14	WellCare mcrppo fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
15	WellCare mcrsnp fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
16	WellCare pffs fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
17	Clover mcr fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
18	Molina mcr fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
19	Molina mme-mmp fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
20	Optum comm fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
21	First Health chip percent of total billed charges · outpatientfrom % of charges	$116	$162	$157	97%	—	$6 – $410
22	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$116	$162	$157	97%	—	$6 – $410
23	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$116	$162	$157	97%	—	$6 – $410
24	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$243	$339	$329	97%	—	$13 – $858
25	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$280	$391	$378	97%	—	$15 – $988

Page 1 of 2 · 36 rates

Last updated: May 1, 2026

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