Flexible pelvic and sacral support brace, prefabricated at UPMC Kane

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

SAM PELVIC SLING II/X-LARGE

Kane, PA

See all hospitals reporting HCPCS L0621 →

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How this price compares nationally

UPMC Kane’s median price of $156 is 98% above the median hospital's median price ($79), higher than 86% of the 1,116 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0621 at UPMC Kane

Negotiated rates from the hospital’s own file: 6 payers, 19 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	Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
2	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
3	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
4	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
5	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
6	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$94	$94	—	—	—	$94 – $94
7	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
8	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$98	$98	—	—	—	$98 – $98
9	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$99	$99	—	—	—	$99 – $99
10	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	—	—	—	$120 – $120
11	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
12	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
13	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
14	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183
15	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
16	Highmark managed care - social mission facility · fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
17	Highmark commercial - indemnity facility · fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
18	Highmark managed care facility · fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
19	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$5.5k	$5.5k	—	—	—	$5.5k – $5.5k

Last updated: Mar 6, 2026

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