HCPCS L0621
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
Current code32 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $28.67 – $513 | $17.20 – $241 | $43.00 – $603 |
| Deaconess Medical Center | $15.97 – $440 | $17.20 – $241 | $43.00 – $603 |
| Harborview Medical Center | $53.92 – $67.40 | $29.28 | $41.83 |
| Island Hospital | $185 – $208 | — | — |
| Kadlec Regional Medical Center | $56.95 – $209 | $98.70 | $141 |
| Mary Bridge Children's Hospital | $27.77 – $491 | $17.20 – $241 | $43.00 – $603 |
| MultiCare Auburn Medical Center | $27.87 – $440 | $17.20 – $241 | $43.00 – $603 |
| MultiCare Covington Medical Center | $27.87 – $440 | $17.20 – $241 | $43.00 – $603 |
| MultiCare Good Samaritan Hospital | $27.87 – $440 | $17.20 – $241 | $43.00 – $603 |
| MultiCare Valley Hospital | $15.97 – $434 | $17.20 – $241 | $43.00 – $603 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $37.07 – $382 | — | — |
| PeaceHealth St Joseph Medical Center | — | $170 | $262 |
| PeaceHealth United General Medical Center | — | $148 | $228 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $56.95 – $215 | $212 | $303 |
| Providence Centralia Hospital | $56.95 – $263 | $125 | $240 |
| Providence Holy Family Hospital | — | $212 | $303 |
| Providence Mount Carmel Hospital | — | $200 | $285 |
| Providence Regional Medical Center Everett | $40.44 – $249 | $133 | $255 |
| Providence St Joseph Hospital | — | $200 | $285 |
| Providence St Mary Medical Center | — | $126 | $180 |
| Providence St Peter Hospital | $28.65 – $351 | $125 | $240 |
| Seattle Children's Hospital | $90.02 – $160 | $167 | $167 |
| Swedish Edmonds Hospital | $50.55 – $509 | $82.08 – $92.75 | $171 – $193 |
| Swedish Issaquah | $50.55 – $294 | $82.08 – $92.75 | $171 – $193 |
| Swedish Medical Center | $50.55 – $294 | $82.08 – $92.75 | $171 – $193 |
| Swedish Medical Center / Cherry Hill | $50.55 – $352 | $82.08 – $92.75 | $171 – $193 |
| Tacoma General Allenmore Hospital | $27.87 – $440 | $17.20 – $241 | $43.00 – $603 |
| University of Washington Medical Ctr | $53.92 – $106 | $209 | $298 |
| Virginia Mason Medical Center | $31.85 – $167 | — | — |
| Wellfound Behavioral Health Hospital | $85.04 | — | — |
| Yakima Valley Memorial | $21.07 – $340 | $17.20 – $156 | $43.00 – $391 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $33.70 (fee)