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
Low
$28
Average
$184
Median
$145
High
$1.3k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 334 hospitals; the 90th percentile is 6.3× 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 | $50 – $253 |
| 2 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $109 | $112 | $33 | 30% | 14–140 | $52 – $200 |
| 3 | Brigham and Women's Hospital Boston, MA | $80 | $85 | $21 | 25% | 3–30 | $50 – $253 |
| 4 | Aurora Medical Center Bay Area Marinette, WI | $186 | $200 | $31 | 16% | 1–10 | $146 – $254 |
| 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 | Mayo Clinic Health System Barron, WI | $113 | $111 | $10 | 9% | 1–10 | $25 – $118 |
| 8 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $149 | $149 | $44 | 30% | — | $40 – $211 |
| 9 | University of Iowa Health Care Medical Center Iowa City, IA | $149 | $149 | $42 | 28% | — | $57 – $211 |
| 10 | Hca Houston Healthcare Conroe CONROE, TX | $191 | $286 | $221 | 77% | — | $50 – $748 |
Ask Claude or any MCP client for HCPCS L0621 pricing at a specific hospital — see how to connect.