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
Brace Supply Charge, application only -> Brace Spine Pelvic/Sacroiliac
HURON, MI
See all hospitals reporting HCPCS L0621 →Price type
Mclaren Port Huron’s median price of $62 is 22% below the median hospital's median price ($79), higher than 14% of the 1,118 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: 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 | Molina medicaid - molina fee schedule | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Humana medicare - humana fee schedule | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Tricare tricare fee schedule | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Molina medicare - molina fee schedule | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Blue Cross Blue Shield blue cross blue shield fee schedule | $120 | $120 | — | — | — | $120 – $120 |
Last updated: Dec 31, 2025
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.