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
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
Independence, MO
See all hospitals reporting HCPCS L0622 →Price type
Centerpoint Medical Center’s median price of $355 is 10% above the median hospital's median price ($322), higher than 65% of the 823 hospitals reporting HCPCS L0622. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 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 mcrhmo fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 3 | Blue Cross Blue Shield tricare fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 4 | Devoted mgmcr fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 5 | Humana mgmcrhmo fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 6 | Humana mgmcrppo fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 7 | Humana pffs fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 8 | UnitedHealthcare vaccn fee schedule · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 9 | Cigna healthspringmgmcr fee schedule · outpatient | $362 | $362 | — | — | — | $362 – $362 |
| 10 | UnitedHealthcare mgmcr fee schedule · outpatient | $362 | $362 | — | — | — | $362 – $362 |
| 11 | WellCare mcr fee schedule · outpatient | $362 | $362 | — | — | — | $362 – $362 |
Last updated: Mar 1, 2026
See Custom-made flexible sacroiliac support brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.