Flexible pelvic and sacral support brace, prefabricated at Medical City Denton

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, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf

Argyle, TX

See all hospitals reporting HCPCS L0621 →

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Pricing by billing methodology

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How this price compares nationally

Medical City Denton’s median price of $76 is 4% below the median hospital's median price ($79), higher than 39% 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 Medical City Denton

Negotiated rates from the hospital’s own file: 9 payers, 25 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 tricare fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
3	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
4	Devoted hmo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
5	Devoted mcr fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
6	Devoted mme fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
7	Devoted pos fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
8	Devoted ppo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
9	Devoted snp fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
10	Humana mgmcr fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
11	UnitedHealthcare mgmcr fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
12	Aetna mcr fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
13	Cigna Healthspring mgmcr fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
14	WellCare mgmcr fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
15	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
16	Superior Healthplan mgmcrhmo fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
17	Superior Healthplan mgmcrpffs fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
18	Superior Healthplan mgmcrpos fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
19	Superior Healthplan mgmcrppo fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
20	Superior Healthplan mgmcrsnp fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
21	Molina mcr fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
22	Molina mme fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
23	Molina mmp fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
24	Molina hix fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
25	Humana comm fee schedule · outpatient	$648	$648	—	—	—	$648 – $648

Last updated: Mar 1, 2026

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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.