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
SPLINT ELBOW PIL-O STD
Arlington, TX
See all hospitals reporting HCPCS L3762 →Price type
AMH Cath Labs LLC’s median price of $63 is 48% below the median hospital's median price ($122), higher than 9% of the 1,131 hospitals reporting HCPCS L3762. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 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 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 24 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 25 | Humana medicare advantage case rate · outpatient | $126 | $126 | — | — | — | $126 – $126 |
Last updated: Apr 21, 2026
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