Custom-made flexible sacroiliac support brace at Methodist Hospital

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
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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, custom fabricated

SAN ANTONIO, TX

See all hospitals reporting HCPCS L0622 →

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How this price compares nationally

Methodist Hospital’s median price of $306 is 5% below the median hospital's median price ($322), higher than 30% of the 819 hospitals reporting HCPCS L0622. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0622 at Methodist Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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 mgmcrhmo fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
4	Devoted dualeligible fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
5	Devoted mcrhmo fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
6	Devoted mcrpffs fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
7	Devoted mcrpos fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
8	Devoted mcrppo fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
9	Devoted mcrsnp fee schedule · outpatient	$297	$297	—	—	—	$297 – $297
10	Aetna mcr fee schedule · outpatient	$302	$302	—	—	—	$302 – $302
11	UnitedHealthcare mcr fee schedule · outpatient	$303	$303	—	—	—	$303 – $303
12	WellCare mcrhmo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
13	WellCare mcrpos fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
14	WellCare mcrppo fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
15	WellCare mcrsnp fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
16	WellCare pffs fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
17	Clover mcr fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
18	Molina mcr fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
19	Molina mme-mmp fee schedule · outpatient	$472	$472	—	—	—	$472 – $472
20	Optum comm fee schedule · outpatient	$742	$742	—	—	—	$742 – $742

Last updated: May 1, 2026

Compare to other hospitals

See Custom-made flexible sacroiliac support brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.