Lumbar back brace with rigid back panels 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 sc r pos/lat pnl pre cst

Cedar Rapids, IA

See all hospitals reporting HCPCS L0633 →

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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 $361 is about the same as the median hospital's median price ($361), higher than 48% of the 891 hospitals reporting HCPCS L0633. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0633 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	$172	$172	—	—	—	$172 – $172
2	UnitedHealthcare ppo fee schedule · both	$172	$172	—	—	—	$172 – $172
3	Wellmark commercial fee schedule · both	$337	$337	—	—	—	$337 – $337
4	Wellmark hmo fee schedule · both	$337	$337	—	—	—	$337 – $337
5	Wellmark ppo fee schedule · both	$337	$337	—	—	—	$337 – $337
6	Aetna medicare advantage case rate · outpatient	$351	$351	—	—	—	$351 – $351
7	Molina medicare advantage case rate · outpatient	$351	$351	—	—	—	$351 – $351
8	Wellmark medicare advantage case rate · outpatient	$351	$351	—	—	—	$351 – $351
9	Humana medicare advantage case rate · outpatient	$361	$361	—	—	—	$361 – $361
10	UnitedHealthcare medicare advantage case rate · outpatient	$361	$361	—	—	—	$361 – $361
11	Aetna hmo fee schedule · both	$384	$384	—	—	—	$384 – $384
12	Aetna ppo fee schedule · both	$384	$384	—	—	—	$384 – $384
13	Cigna commercial fee schedule · both	$436	$436	—	—	—	$436 – $436
14	UnitedHealthcare hmo fee schedule · outpatient	$494	$494	—	—	—	$494 – $494
15	UnitedHealthcare ppo fee schedule · outpatient	$494	$494	—	—	—	$494 – $494
16	Aetna hmo fee schedule · outpatient	$636	$636	—	—	—	$636 – $636
17	Aetna ppo fee schedule · outpatient	$636	$636	—	—	—	$636 – $636

Last updated: Jan 28, 2026

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