Flexible pelvic and sacral support brace, prefabricated at Lancaster General Health

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

HC SACROILIAC BELT - EXTRA LARGE

Lancaster, PA

See all hospitals reporting HCPCS L0621 →

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Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $74 is 6% below the median hospital's median price ($79), higher than 32% of the 1,118 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0621 at Lancaster General Health

Negotiated rates from the hospital’s own file: 12 payers, 32 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	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
2	Highmark highmark chip facility · other · outpatient	$51	$51	—	—	—	$51 – $51
3	Tricare tricare facility · fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
4	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$61	$61	—	—	—	$61 – $61
5	Highmark highmark aca facility · other · outpatient	$61	$61	—	—	—	$61 – $61
6	Highmark highmark medicare advantage facility · fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
7	Medicare medicare facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
8	UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
9	Aetna aetna medicare advantage facility · other · outpatient	$68	$68	—	—	—	$68 – $68
10	Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
11	Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
12	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$68	$68	—	—	—	$68 – $68
13	Cigna Healthspring cigna healthspring facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
14	Highmark highmark commercial preferred facility · other · outpatient	$70	$70	—	—	—	$70 – $70
15	Devoted devoted health medicare advantage facility · other · outpatient	$70	$70	—	—	—	$70 – $70
16	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
17	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$79	$79	—	—	—	$79 – $79
18	Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges	$85	$85	—	—	—	$85 – $85
19	Highmark highmark commercial facility · other · outpatient	$87	$87	—	—	—	$87 – $87
20	Blue Cross Blue Shield cbc commercial facility · other · outpatient	$88	$88	—	—	—	$88 – $88
21	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
22	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
23	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
24	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
25	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$105	$105	—	—	—	$105 – $105

Page 1 of 2 · 32 rates

Last updated: Mar 31, 2026

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