Sacroiliac support brace with rigid panels at Hca Houston Healthcare Conroe

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

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

CONROE, TX

See all hospitals reporting HCPCS L0623 →

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How this price compares nationally

Hca Houston Healthcare Conroe’s median price of $133 is 2% below the median hospital's median price ($136), higher than 39% of the 831 hospitals reporting HCPCS L0623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0623 at Hca Houston Healthcare Conroe

Negotiated rates from the hospital’s own file: 10 payers, 26 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	Oscar mgmcr fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
3	Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
4	Cigna Healthspring mcrhmo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
5	Cigna Healthspring mcrppo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
6	Cigna Healthspring mcrsnp fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
7	Cigna Healthspring mmp fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
8	Cigna Healthspring pffs fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
9	Devoted mgmcr fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
10	Humana medicareadvantagehmo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
11	Humana medicareadvantageppopffs fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
12	Aetna mcr fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
13	UnitedHealthcare mcr fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
14	WellCare mcrhmo fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
15	WellCare pffs fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
16	WellCare pos fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
17	WellCare ppo fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
18	WellCare snp fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
19	Superior Healthplan dualeligible fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
20	Superior Healthplan mcrhmo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
21	Superior Healthplan mcrpos fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
22	Superior Healthplan mcrppo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
23	Superior Healthplan mcrsnp fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
24	Superior Healthplan pffs fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
25	Molina mgmcr fee schedule · outpatient	$141	$141	—	—	—	$141 – $141

Page 1 of 2 · 26 rates

Last updated: May 14, 2026

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