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
Bartow, FL
See all hospitals reporting HCPCS L0621 →Price type
Bartow Regional Medical Center’s median price of $100 is 27% above the median hospital's median price ($79), higher than 69% 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: 7 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 | Humana commercial other facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 5 | Aetna medicare hmo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Cigna medicare hmo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 8 | WellCare medicare hmo facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 9 | Ambetter commercial select core facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 10 | Ambetter commercial value facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
Last updated: Jan 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.