Flexible pelvic and sacral support brace, prefabricated at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SLING SAM II PELVIS XL 36-60"

Arlington, TX

See all hospitals reporting HCPCS L0621 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $215 is 173% above the median hospital's median price ($79), higher than 91% of the 1,117 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0621 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$38	$38	—	—	—	$38 – $38
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$72	$72	—	—	—	$72 – $72
7	Humana medicare advantage case rate · outpatient	$75	$75	—	—	—	$75 – $75
8	Humana medicare advantage ppo case rate · outpatient	$75	$75	—	—	—	$75 – $75
9	Molina medicare advantage case rate · outpatient	$76	$76	—	—	—	$76 – $76
10	WellCare medicare advantage hmo case rate · outpatient	$76	$76	—	—	—	$76 – $76
11	WellCare medicare advantage mmp case rate · outpatient	$79	$79	—	—	—	$79 – $79
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$80	$80	—	—	—	$80 – $80
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$82	$82	—	—	—	$82 – $82
14	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$225	$225	—	—	—	$225 – $225
18	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$273	$273	—	—	—	$273 – $273
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$285	$285	—	—	—	$285 – $285
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$287	$287	—	—	—	$287 – $287

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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