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
HC Sacroiliac Ortho Pelvic-Sacral Sup Prefab Tier1
Based on 42–303 billing samples across every hospital reporting.
Low
$1
Average
$122
Median
$92
High
$2.0k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1091 hospitals; the 90th percentile is 3.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Massachusetts General Hospital Boston, MA | $82 | $76 | $11 | 15% | 18–63 | $59 – $86 |
| 2 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $82 | $97 | $35 | 36% | 14–140 | $52 – $200 |
| 3 | Brigham and Women's Hospital Boston, MA | $80 | $85 | $21 | 25% | 3–30 | $62 – $112 |
| 4 | Avera McKennan Hospital Sioux Falls, SD | $83 | $82 | $10 | 12% | 3–30 | $67 – $96 |
| 5 | Ketchikan Medial Center Ketchikan, AK | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 6 | Baptist Health Rehabilitation Institute Rock, AR | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 7 | Aurora Medical Center Bay Area Marinette, WI | $186 | $200 | $31 | 16% | 1–10 | $146 – $254 |
| 8 | Mayo Clinic Health System Barron, WI | $113 | $108 | $15 | 13% | 1–10 | $25 – $118 |
| 9 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $95 | $96 | $24 | 25% | — | $72 – $141 |
| 10 | Beth Israel Deaconess Hospital - Needham Needham, MA | $169 | $169 | — | — | — | $169 – $169 |
Ask Claude or any MCP client for HCPCS L0621 pricing at a specific hospital — see how to connect.