Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise cost in Indiana
$1,814
Cash from
$1,814–$3,824
Cash range · 10 distinct prices
$1,368
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $1,814 | $1,368 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $2,426 | $1,561 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $2,136 | $1,561 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $2,426 | $1,561 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $2,440 | $1,561 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $3,451 | $1,561 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $3,824 | $1,561 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $2,665 | $1,561 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $2,426 | $1,561 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $3,279 | $1,561 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $3,219 | $1,561 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $2,104 | $1,561 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterLso s/c shell/panel prefab
- Berger HospitalLso s/c shell/panel prefab
- Bethesda Hospital Inc.Lso s/c shell/panel prefab
- Clinton Memorial HospitalLso s/c shell/panel prefab
- Dayton Osteopathic HospitalLso s/c shell/panel prefab
- Fairview HospitalLso s/c shell/panel prefab
- Fort Hamilton HospitalLso s/c shell/panel prefab
- Greene Memorial Hospital IncLso s/c shell/panel prefab
- HEART HOSP OF AUSTINLumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKLumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces in
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Price it for me →Estimates from published hospital rates — not your exact bill.