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 cost in Indiana
$66
Cash from
$66–$141
Cash range · 13 distinct prices
$39
Insurer rates from
16
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Bloomington Inc. | Bloomington | $78 | $39 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $119 | $39 | Mar 2026205 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | Mooresville | $72 | $39 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL | Carmel | $66 | $39 | Jan 2026288 days old |
| Indiana University Health Inc. | Indianapolis | $89 | $39 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $79 | $39 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $89 | $39 | Mar 2026205 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | Indianapolis | $66 | $39 | Jan 2026288 days old |
| Indiana University Health Bedford Inc. | Bedford | $90 | $39 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $127 | $39 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $141 | $39 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $98 | $39 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $89 | $39 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $121 | $39 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $67 | $39 | Mar 2026205 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL - CARMEL | Carmel | $73 | $63 | Jul 2025472 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- BAPTIST HEALTHCARE SYSTEM INCSACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, PREFABRICATED, OFF-THE-SHELF
- BAPTIST HEALTHCARE SYSTEM INCSACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, PREFABRICATED, OFF-THE-SHELF
- BAPTIST HEALTHCARE SYSTEM INCSACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, PREFABRICATED, OFF-THE-SHELF
- BAPTIST HEALTHCARE SYSTEM INCSACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, PREFABRICATED, OFF-THE-SHELF
- BAPTIST HEALTHCARE SYSTEM INCSACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, PREFABRICATED, OFF-THE-SHELF
- BAPTIST HEALTHCARE SYSTEM INCSACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC JOINT, INCLUDES STRAPS, CLOSURES, MAY INCLUDE PENDULOUS ABDOMEN DESIGN, PREFABRICATED, OFF-THE-SHELF
- BAPTIST HEALTHCARE SYSTEM INC.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
- Beavercreek Medical CenterSio flex pelvic/sacr pre ots
- Berger HospitalSio flex pelvic/sacr pre ots
- Bethesda Hospital Inc.Sio flex pelvic/sacr pre ots
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.