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, prefabricated, off-the-shelf
STUART, FL
See all hospitals reporting HCPCS L0621 →Price type
Hca Florida St. Lucie Hospital’s median price of $78 is about the same as the median hospital's median price ($79), higher than 47% 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: 7 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 | Humana tricr fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Devoted mcr fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Humana mgmcrhmo fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 4 | Humana mgmcrppo fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 5 | UnitedHealthcare gvt fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 7 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 8 | UnitedHealthcare mcr fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Aetna mcr fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 10 | Cigna Healthspring mcr fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 11 | Amerihealth Caritas mgmcr fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
Last updated: Mar 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.