Sacroiliac support brace with rigid panels 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, 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

Argyle, TX

See all hospitals reporting HCPCS L0623 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Medical City Denton’s median price of $136 is about the same as the median hospital's median price ($136), higher than 48% 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 Medical City Denton

Negotiated rates from the hospital’s own file: 9 payers, 24 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.

Filter by billing methodology

Filter by billing class

#
1	Humana tricare fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
3	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
4	Devoted hmo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
5	Devoted mcr fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
6	Devoted mme fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
7	Devoted pos fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
8	Devoted ppo fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
9	Devoted snp fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
10	Humana mgmcr fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
11	UnitedHealthcare mgmcr fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
12	Aetna mcr fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
13	Cigna Healthspring mgmcr fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
14	WellCare mgmcr fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
15	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
16	Superior Healthplan mgmcrhmo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
17	Superior Healthplan mgmcrpffs fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
18	Superior Healthplan mgmcrpos fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
19	Superior Healthplan mgmcrppo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
20	Superior Healthplan mgmcrsnp fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
21	Molina mcr fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
22	Molina mme fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
23	Molina mmp fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
24	Molina hix fee schedule · outpatient	$339	$339	—	—	—	$339 – $339

Last updated: Mar 1, 2026

Compare to other hospitals

See Sacroiliac support brace with rigid panels pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.