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 rig pnl pelv/sac pre ots
Macon, GA
See all hospitals reporting HCPCS L0623 →Price type
Central Georgia Rehabilitation LLC’s median price of $135 is about the same as the median hospital's median price ($136), higher than 47% 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, 8 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 | Aetna medicare advantage fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 3 | Humana medicare advantage fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 6 | Clover medicare advantage fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 7 | Humana hmo/pos fee schedule · both | $191 | $191 | — | — | — | $191 – $191 |
| 8 | Humana ppo fee schedule · both | $191 | $191 | — | — | — | $191 – $191 |
Last updated: Nov 19, 2025
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.