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
P/T ADJUSTABLE SACROILIAC BRACE
Toccoa, GA
See all hospitals reporting HCPCS L0621 →Price type
Stephens County Hospital’s median price of $92 is 17% above the median hospital's median price ($79), higher than 65% of the 1,116 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 8 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 | Medicaid medicaid percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 2 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Medicare medicare fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Caresource medicare fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 7 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 8 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
Last updated: May 19, 2026
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