Prefabricated figure-eight shoulder abduction brace at Aurora Medical Center Summit

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

1225591 - BRACE SHLDR SM L10.5-13 IN RELS BUCKLE THUMB LOOP ABDUCTION

Summit, WI

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How this price compares nationally

Aurora Medical Center Summit’s median price of $91 is 28% above the median hospital's median price ($71), higher than 78% of the 1,493 hospitals reporting HCPCS L3650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3650 at Aurora Medical Center Summit

Negotiated rates from the hospital’s own file: 6 payers, 21 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	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$69	$69	$1	1%	—	$68 – $70
2	UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges	$84	$84	$1	1%	—	$83 – $85
3	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$84	$84	$1	1%	—	$83 – $85
4	UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges	$84	$84	$1	1%	—	$83 – $85
5	UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges	$84	$84	$1	1%	—	$83 – $85
6	Anthem blue priority percent of total billed charges · outpatientfrom % of charges	$85	$85	$1	1%	—	$84 – $86
7	Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges	$85	$85	$1	1%	—	$84 – $86
8	Molina commercial percent of total billed charges · outpatientfrom % of charges	$85	$85	$1	1%	—	$84 – $86
9	Anthem blue preferred percent of total billed charges · outpatientfrom % of charges	$92	$92	$1	1%	—	$91 – $93
10	Cigna ppo-gppo percent of total billed charges · outpatientfrom % of charges	$106	$106	$1	1%	—	$105 – $107
11	Healthpartners broad percent of total billed charges · inpatientfrom % of charges	$106	$106	$1	1%	—	$105 – $107
12	Healthpartners broad percent of total billed charges · outpatientfrom % of charges	$106	$106	$1	1%	—	$105 – $107
13	Healthpartners robin percent of total billed charges · outpatientfrom % of charges	$106	$106	$1	1%	—	$105 – $107
14	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$117	$117	$1	1%	—	$116 – $118
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$117	$117	$1	1%	—	$116 – $118
16	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$119	$119	$1	1%	—	$118 – $121
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$119	$119	$1	1%	—	$118 – $121
18	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$120	$120	$1	1%	—	$118 – $121
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$120	$120	$1	1%	—	$118 – $121
20	Anthem ppo percent of total billed charges · inpatientfrom % of charges	$120	$120	$1	1%	—	$119 – $122
21	Anthem ppo percent of total billed charges · outpatientfrom % of charges	$120	$120	$1	1%	2–20	$119 – $122

Last updated: Nov 21, 2025

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