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
Duluth, MN
See all hospitals reporting HCPCS L0621 →Price type
Aspirus St. Luke’s Hospital’s median price of $89 is 13% above the median hospital's median price ($79), higher than 62% 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, 9 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem anthem medicare advantage plans fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 2 | Healthpartners healthpartners medicare advantage plans fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Aetna medicare advantage esa fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 4 | Humana humana medicare ppo/pos/hmo network plans fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 5 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 8 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 9 | Anthem anthem blue commercial plans fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
Last updated: Apr 1, 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.