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
Edmonds, WA
See all hospitals reporting HCPCS L0623 →Price type
Swedish Edmonds’s median price of $72 is 47% below the median hospital's median price ($136), higher than 7% of the 827 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: 6 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 | Kaiser medicare managed care plan fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Aetna medicare managed care - ppo fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Humana choice care medicare managed care plan fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 6 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Kaiser all commercial plans fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 9 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
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.