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
Lso sc r pos/lat pnl pre ots
Worthington, MN
See all hospitals reporting HCPCS L0649 →Price type
Sanford Worthington Medical Center’s median price of $290 is 30% above the median hospital's median price ($223), higher than 80% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 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 | Bcbs Mn commercial/federal fee schedule · outpatient | $260.30 | $260.30 | $260.30 – $260.30 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $260.30 | $260.30 | $260.30 – $260.30 |
| 3 | Sanford Health Plan medicare replacement case rate · outpatient | $267.15 | $267.15 | $267.15 – $267.15 |
| 4 | Ucare medicare replacement case rate · outpatient | $286.83 | $286.83 | $286.83 – $286.83 |
| 5 | Aetna medicare replacement case rate · outpatient | $289.65 | $289.65 | $289.65 – $289.65 |
| 6 | Bcbs Mn medicare replacement case rate · outpatient | $289.65 | $289.65 | $289.65 – $289.65 |
| 7 | UnitedHealthcare medicare replacement case rate · outpatient | $289.65 | $289.65 | $289.65 – $289.65 |
Last updated: Mar 4, 2026
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