Lumbar-sacral back brace with rigid posterior panels at Trinity Medical Center

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 ots

Rock Island, IL

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How this price compares nationally

Trinity Medical Center’s median price of $193 is 13% below the median hospital's median price ($223), higher than 26% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0649 at Trinity Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 21 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	Blue Cross Blue Shield pos fee schedule · both	$114.13	$114.13	$114.13 – $114.13
2	Blue Cross Blue Shield ppo fee schedule · both	$135.87	$135.87	$135.87 – $135.87
3	Wellmark commercial fee schedule · both	$135.87	$135.87	$135.87 – $135.87
4	UnitedHealthcare hmo fee schedule · both	$171.51	$171.51	$171.51 – $171.51
5	UnitedHealthcare ppo fee schedule · both	$171.51	$171.51	$171.51 – $171.51
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$184.14	$184.14	$184.14 – $184.14
7	Aetna medicare advantage case rate · outpatient	$187.82	$187.82	$187.82 – $187.82
8	Molina mmai medicare advantage case rate · outpatient	$187.82	$187.82	$187.82 – $187.82
9	Wellmark medicare advantage case rate · outpatient	$187.82	$187.82	$187.82 – $187.82
10	Humana medicare advantage case rate · outpatient	$193.35	$193.35	$193.35 – $193.35
11	UnitedHealthcare medicare advantage case rate · outpatient	$193.35	$193.35	$193.35 – $193.35
12	Wellmark hmo fee schedule · both	$274.74	$274.74	$274.74 – $274.74
13	Ambetter hmo case rate · outpatient	$294.62	$294.62	$294.62 – $294.62
14	Cigna commercial fee schedule · both	$355.11	$355.11	$355.11 – $355.11
15	Aetna hmo fee schedule · outpatient	$383.01	$383.01	$383.01 – $383.01
16	Aetna ppo fee schedule · outpatient	$383.01	$383.01	$383.01 – $383.01
17	Aetna hmo fee schedule · both	$384.40	$384.40	$384.40 – $384.40
18	Aetna ppo fee schedule · both	$384.40	$384.40	$384.40 – $384.40
19	Blue Cross Blue Shield pos case rate · outpatient	$513.90	$513.90	$513.90 – $513.90
20	Blue Cross Blue Shield ppo case rate · outpatient	$513.90	$513.90	$513.90 – $513.90
21	Wellmark commercial case rate · outpatient	$513.90	$513.90	$513.90 – $513.90

Last updated: Jan 28, 2026

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