L0621
HCPCSSio flex pelvic/sacr pre ots
Based on the latest published hospital price files, code L0621 (Sio flex pelvic/sacr pre ots) appears at 4 hospitals with disclosed cash prices from $86.52 to $150. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare L0621 prices
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Published cash prices for code L0621 vary by about 73% across the 2 hospitals with disclosed prices here — from $86.52 to $150. Shopping around can matter.
Lowest cash price by hospital
- Mansfield Hospital$86.52
Cash price by city
Reflects your current filters.
- Mansfield · 1 hospital$86.52
- Marinette · 1 hospital$150
4 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Sio flex pelvic/sacr pre ots Outpatient | Endeavor Health Edward Hospital | L0621 HCPCS | — | — | $64.94 – $120 | — | |
| Sio flex pelvic/sacr pre ots Outpatient | University of Chicago Medical Center | L0621 HCPCS | — | — | — | — | |
| SACROILIAC FLEXIBLE SUPPORT Inpatient | Aurora Medical Center Bay Area | L0621 HCPCS | $300 | $150 | $180 – $254 | — | |
| Hc L0621 Si Belt, Boa Ots Inpatient & outpatient | Mansfield Hospital | L0621 HCPCS | $133 | $86.52 | — | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish L0621 prices
Open a hospital to see this code in the context of its full published prices.
Code L0621: frequently asked
- What does code L0621 cost?
- Across the published hospital price files, the disclosed cash price for L0621 ranges from $86.52 to $150. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code L0621?
- L0621 is the billing code hospitals use to identify "Sio flex pelvic/sacr pre ots" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.