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
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in
SAN ANTONIO, TX
See all hospitals reporting HCPCS L0639 →Price type
Methodist Hospital’s median price of $1.5k is 9% below the median hospital's median price ($1.6k), higher than 28% of the 941 hospitals reporting HCPCS L0639. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | First Health chip percent of total billed charges · outpatientfrom % of charges | $285 | $285 | $146 | 51% | — | $140 – $431 |
| 2 | First Health chipperinate percent of total billed charges · outpatientfrom % of charges | $285 | $285 | $146 | 51% | — | $140 – $431 |
| 3 | First Health mcdstar percent of total billed charges · outpatientfrom % of charges | $285 | $285 | $146 | 51% | — | $140 – $431 |
| 4 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $597 | $597 | $305 | 51% | — | $292 – $902 |
| 5 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $687 | $687 | $351 | 51% | — | $337 – $1.0k |
| 6 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $690 | $690 | $352 | 51% | — | $338 – $1.0k |
| 7 | Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges | $702 | $702 | $358 | 51% | — | $344 – $1.1k |
| 8 | Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges | $832 | $832 | $425 | 51% | — | $408 – $1.3k |
| 9 | Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges | $871 | $871 | $444 | 51% | — | $426 – $1.3k |
| 10 | Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges | $871 | $871 | $444 | 51% | — | $426 – $1.3k |
| 11 | Blue Cross Blue Shield healthselectopenaccess(eposoa) percent of total billed charges · outpatientfrom % of charges | $951 | $951 | $485 | 51% | — | $466 – $1.4k |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $527 | 51% | — | $506 – $1.6k |
| 13 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $607 | 51% | — | $583 – $1.8k |
| 14 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Devoted dualeligible fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Devoted mcrhmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Devoted mcrpffs fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Devoted mcrpos fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Devoted mcrppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Devoted mcrsnp fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Aetna mcr fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | UnitedHealthcare mcr fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | WellCare mcrhmo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: May 1, 2026
See Lumbar-sacral back brace with rigid shell pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.