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, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pend
Independence, MO
See all hospitals reporting HCPCS L0623 →Price type
Centerpoint Medical Center’s median price of $134 is about the same as the median hospital's median price ($136), higher than 45% of the 831 hospitals reporting HCPCS L0623. 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 | $133 | $133 | — | — | — | $133 – $133 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Blue Cross Blue Shield tricare fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Devoted mgmcr fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Humana mgmcrhmo fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 6 | Humana mgmcrppo fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Humana pffs fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 8 | UnitedHealthcare vaccn fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 9 | Cigna healthspringmgmcr fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 10 | UnitedHealthcare mgmcr fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 11 | WellCare mcr fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
Last updated: Mar 1, 2026
See Sacroiliac support brace with rigid panels pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.