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
Clarion, PA
See all hospitals reporting HCPCS L0621 →Price type
Clarion Hospital’s median price of $95 is 20% above the median hospital's median price ($79), higher than 66% 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: 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 | Cigna commercial facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 4 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Aetna mcr advantage facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 6 | Devoted mcr advantage facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 7 | Aetna auto network facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 8 | Aetna commercial facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 9 | Highmark mcr advantage facility · fee schedule · outpatient | $89 | $126 | $53 | 42% | — | $88 – $200 |
| 10 | Highmark chip facility · fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 11 | Aetna hmo 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.