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
Sio flex pelvic/sacr pre ots
Bangor, ME
See all hospitals reporting HCPCS L0621 →Price type
Acadia Hospital’s median price of $76 is 4% below the median hospital's median price ($79), higher than 41% of the 1,124 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Anthem enhanced pathways facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Anthem mcr advantage facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Aetna mcr advantage facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 6 | Optum mcr advantage facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 7 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 8 | WellCare mcr advantage facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 9 | Anthem commercial facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 10 | UnitedHealthcare commercial professional · fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
Last updated: Mar 30, 2026
See Flexible pelvic and sacral support brace, prefabricated pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.