Flexible pelvic and sacral support brace, prefabricated at Hmh Hospitals Corporation

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

PO-SACROILIAC ORTHOSIS FLEXIBLE UNCLUDES STRAPS CLOSURES PREFAB

Hackensack, NJ

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How this price compares nationally

Hmh Hospitals Corporation’s median price of $102 is 29% above the median hospital's median price ($79), higher than 71% of the 1,124 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0621 at Hmh Hospitals Corporation

Negotiated rates from the hospital’s own file: 5 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	Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
2	Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
3	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
4	Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
5	Cigna hmo facility · percent of total billed charges · bothfrom % of charges	$77	$77	—	—	—	$77 – $77
6	Cigna ppo facility · percent of total billed charges · bothfrom % of charges	$77	$77	—	—	—	$77 – $77
7	Aetna asa facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
8	Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
9	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
10	Cigna bh facility · percent of total billed charges · outpatientfrom % of charges	$116	$116	—	—	—	$116 – $116
11	MultiPlan all products facility · percent of total billed charges · bothfrom % of charges	$123	$123	—	—	—	$123 – $123

Last updated: Dec 31, 2025

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