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
Chicago, IL
See all hospitals reporting HCPCS L0621 →Price type
Advocate Trinity Hospital’s median price of $121 is 54% above the median hospital's median price ($79), higher than 79% of the 1,118 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: 4 payers, 5 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 | Ambetter medicare advantage case rate · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Molina medicare advantage case rate · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 3 | Oscar medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $503 | $503 | $20 | 4% | — | $483 – $523 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $550 | $550 | — | — | — | $550 – $550 |
Last updated: Nov 4, 2025
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.