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
Hamilton, OH
See all hospitals reporting HCPCS L0623 →Price type
Fort Hamilton Hospital’s median price of $181 is 33% above the median hospital's median price ($136), higher than 84% 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: 4 payers, 5 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 managed care plan fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 2 | Molina medicare managed care plan fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Caresource marketplace exchange fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 4 | UnitedHealthcare exchange fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 5 | Molina exchange fee schedule · outpatient | $242 | $242 | — | — | — | $242 – $242 |
Last updated: Apr 1, 2026
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