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
Sio rig pnl pelv/sac pre ots
Saint Louis, MO
See all hospitals reporting HCPCS L0623 →Price type
SSM-SLUH, Inc.’s median price of $312 is 130% above the median hospital's median price ($136), higher than 98% of the 831 hospitals reporting HCPCS L0623. 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, 9 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 anthem medicare managed care plan fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 2 | Aetna medicare managed care plan fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 3 | Humana medicare managed care plan fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 4 | Aetna advantra medicare managed care plan fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Oscar exchange fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 6 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $326 | $346 | $140 | 40% | — | $159 – $661 |
| 7 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $337 | $355 | $143 | 40% | — | $162 – $675 |
| 8 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $356 | $365 | $146 | 40% | — | $162 – $675 |
| 9 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $437 | $435 | $181 | 42% | — | $175 – $728 |
Last updated: Apr 1, 2026
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.