Flexible pelvic and sacral support brace, prefabricated at MultiCare Deaconess 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC BELT SACROILIAC SI-LOC L/XL LF

Spokane, WA

See all hospitals reporting HCPCS L0621 →

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Pricing by billing methodology

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How this price compares nationally

MultiCare Deaconess Hospital’s median price of $40 is 49% below the median hospital's median price ($79), higher than 3% 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 MultiCare Deaconess Hospital

Negotiated rates from the hospital’s own file: 12 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	Regence commercial fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
2	Aetna medadvantage fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	Bcbs Id medadvantage fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
4	Regence medadvantage fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
5	UnitedHealthcare medadvantage fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
6	Molina medadvantage fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
7	WellCare medadvantage fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
8	Premera other commercial plans fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
9	Premera prime fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
10	Premera signature fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
11	UnitedHealthcare commercial fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
12	Cigna commercial fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
13	Ambetter coordinated care exchange fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
14	Premera hmo fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
15	Aetna all commercial plans fee schedule · outpatient	$101	$101	—	—	—	$101 – $101
16	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$178	$212	$164	77%	—	$31 – $428
17	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$178	$212	$164	77%	—	$31 – $428
18	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$183	$218	$169	77%	—	$31 – $440
19	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$183	$218	$169	77%	—	$31 – $440
20	Kaiser ppo fee schedule · outpatient	$251	$251	—	—	—	$251 – $251

Last updated: Aug 27, 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.