Rigid lower back brace with front and back panels at Samaritan 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

BRACE ORTHO EXOS 28-50IN SM

Troy, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $135 is 91% below the median hospital's median price ($1.6k), higher than 0% of the 1,148 hospitals reporting HCPCS L0637. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0637 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 16 payers, 30 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	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$83	$83	$1	2%	—	$81 – $84
2	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
11	Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
12	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
13	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
14	UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
15	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
16	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
17	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$133	$133	$2	2%	—	$130 – $135
18	Excellus blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges	$166	$166	$3	2%	—	$163 – $169
19	Highmark blue shield of ne new york medicare adv facility · percent of total billed charges · bothfrom % of charges	$166	$166	$3	2%	—	$163 – $169
20	WellCare wellcare ep 1&2 medicaid facility · percent of total billed charges · bothfrom % of charges	$249	$249	$4	2%	—	$244 – $253
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$256	$257	$75	29%	—	$179 – $338
22	First Health first health facility · percent of total billed charges · bothfrom % of charges	$265	$265	$5	2%	—	$261 – $270
23	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$282	$282	$5	2%	—	$277 – $287
24	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$298	$298	$5	2%	—	$293 – $304
25	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$298	$298	$5	2%	—	$293 – $304

Page 1 of 2 · 30 rates

Last updated: Mar 31, 2026

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