Lumbar back brace with rigid rear panel at St Luke's 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

Lso r post pnl sj-t9 pre cst

Cedar Rapids, IA

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $204 is 1% below the median hospital's median price ($206), higher than 44% of the 933 hospitals reporting HCPCS L0630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0630 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 17 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	UnitedHealthcare hmo fee schedule · both	$97	$97	—	—	—	$97 – $97
2	UnitedHealthcare ppo fee schedule · both	$97	$97	—	—	—	$97 – $97
3	Wellmark commercial fee schedule · both	$190	$190	—	—	—	$190 – $190
4	Wellmark hmo fee schedule · both	$190	$190	—	—	—	$190 – $190
5	Wellmark ppo fee schedule · both	$190	$190	—	—	—	$190 – $190
6	Aetna medicare advantage case rate · outpatient	$198	$198	—	—	—	$198 – $198
7	Molina medicare advantage case rate · outpatient	$198	$198	—	—	—	$198 – $198
8	Wellmark medicare advantage case rate · outpatient	$198	$198	—	—	—	$198 – $198
9	Humana medicare advantage case rate · outpatient	$204	$204	—	—	—	$204 – $204
10	UnitedHealthcare medicare advantage case rate · outpatient	$204	$204	—	—	—	$204 – $204
11	Aetna hmo fee schedule · both	$217	$217	—	—	—	$217 – $217
12	Aetna ppo fee schedule · both	$217	$217	—	—	—	$217 – $217
13	Cigna commercial fee schedule · both	$246	$246	—	—	—	$246 – $246
14	UnitedHealthcare hmo fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
15	UnitedHealthcare ppo fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
16	Aetna hmo fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
17	Aetna ppo fee schedule · outpatient	$359	$359	—	—	—	$359 – $359

Last updated: Jan 28, 2026

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