Prefabricated four-piece back brace, shoulder blades to tailbone at Sanford Webster 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

BRC BACK TLSO ISOFORM SM/MD

Webster, SD

See all hospitals reporting HCPCS L0464 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Sanford Webster Hospital’s median price of $349 is 81% below the median hospital's median price ($1.8k), higher than 4% of the 1,216 hospitals reporting HCPCS L0464. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0464 at Sanford Webster Hospital

Negotiated rates from the hospital’s own file: 7 payers, 27 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.

Filter by billing methodology

Filter by billing class

#
1	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
2	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
3	Wellmark medicare replacement percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
5	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
6	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
7	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
10	Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
11	Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$303	$303	—	—	—	$303 – $303
12	Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges	$345	$345	—	—	—	$345 – $345
13	Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges	$345	$345	—	—	—	$345 – $345
14	Medica choice percent of total billed charges · inpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
15	Medica choice percent of total billed charges · outpatientfrom % of charges	$388	$388	—	—	—	$388 – $388
16	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$392	$392	—	—	—	$392 – $392
17	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$392	$392	—	—	—	$392 – $392
18	Wellmark ppo percent of total billed charges · outpatientfrom % of charges	$404	$404	—	—	—	$404 – $404
19	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$408	$408	—	—	—	$408 – $408
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$408	$408	—	—	—	$408 – $408
21	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$409	$409	—	—	—	$409 – $409
22	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$413	$413	—	—	—	$413 – $413
23	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$413	$413	—	—	—	$413 – $413
24	Medica elect percent of total billed charges · inpatientfrom % of charges	$415	$415	—	—	—	$415 – $415
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$415	$415	—	—	—	$415 – $415

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

Compare to other hospitals

See Prefabricated four-piece back brace, shoulder blades to tailbone pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.