Flexible pelvic and sacral support brace, prefabricated at St Joseph Mercy Oakland

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

SLING PELV SPLIT SAM MED

Pontiac, MI

See all hospitals reporting HCPCS L0621 →

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Pricing by billing methodology

Price type

How this price compares nationally

St Joseph Mercy Oakland’s median price of $101 is 29% above the median hospital's median price ($79), higher than 70% 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 St Joseph Mercy Oakland

Negotiated rates from the hospital’s own file: 21 payers, 28 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 bcbs mi local hmo facility · percent of total billed charges · bothfrom % of charges	$51	$51	—	—	—	$51 – $51
2	Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges	$55	$55	—	—	—	$55 – $55
3	Blue Cross Blue Shield blue cross complete medicaid facility · percent of total billed charges · bothfrom % of charges	$56	$56	—	—	—	$56 – $56
4	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$66	$66	—	—	—	$66 – $66
5	Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges	$69	$69	—	—	—	$69 – $69
6	Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
7	Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
8	Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
9	Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
10	Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
11	Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
12	Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
13	Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
14	Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$79	$79	—	—	—	$79 – $79
15	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$84	$84	—	—	—	$84 – $84
16	Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges	$100	$100	—	—	—	$100 – $100
17	Molina molina hmo marketplace facility · percent of total billed charges · bothfrom % of charges	$110	$110	—	—	—	$110 – $110
18	Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges	$130	$130	—	—	—	$130 – $130
19	Magellan magellan facility · percent of total billed charges · bothfrom % of charges	$132	$132	—	—	—	$132 – $132
20	Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges	$138	$138	—	—	—	$138 – $138
21	Medical Mutual aetna ppo facility · percent of total billed charges · bothfrom % of charges	$138	$138	—	—	—	$138 – $138
22	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$150	$150	—	—	—	$150 – $150
23	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$150	$150	—	—	—	$150 – $150
24	Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$161	$161	—	—	—	$161 – $161
25	Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$161	$161	—	—	—	$161 – $161

Page 1 of 2 · 28 rates

Last updated: Mar 31, 2026

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