Custom lower back brace shell and panels 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, 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

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Pricing by billing methodology

Price type

How this price compares nationally

Methodist Hospital’s median price of $1.3k is about the same as the median hospital's median price ($1.3k), higher than 52% of the 940 hospitals reporting HCPCS L0640. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0640 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	First Health chip percent of total billed charges · outpatientfrom % of charges	$411	$411	—	—	—	$411 – $411
2	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$411	$411	—	—	—	$411 – $411
3	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$411	$411	—	—	—	$411 – $411
4	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$861	$861	—	—	—	$861 – $861
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$991	$991	—	—	—	$991 – $991
6	Cigna comm percent of total billed charges · outpatientfrom % of charges	$994	$994	—	—	—	$994 – $994
7	Blue Cross Blue Shield trad percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
8	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
9	Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
10	Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
11	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
12	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
13	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
14	Devoted dualeligible fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
15	Devoted mcrhmo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	Devoted mcrpffs fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
17	Devoted mcrpos fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Devoted mcrppo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Devoted mcrsnp fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	Aetna mcr fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
21	UnitedHealthcare mcr fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	WellCare mcrhmo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	WellCare mcrpos fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
24	WellCare mcrppo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	WellCare mcrsnp fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Page 1 of 2 · 36 rates

Last updated: May 1, 2026

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