Pavlik harness for infant hip abduction at Baylor Scott & White Medical Center - Buda

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

Original text from hospital filings

HC L1620, FLEX PAVLIK HARNESS, PREFABRICATED/CUSTOMIZED

Buda, TX

See all hospitals reporting HCPCS L1620 →

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Pricing by billing methodology

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How this price compares nationally

Baylor Scott & White Medical Center - Buda’s median price of $203 is 12% above the median hospital's median price ($182), higher than 71% of the 1,009 hospitals reporting HCPCS L1620. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1620 at Baylor Scott & White Medical Center - Buda

Negotiated rates from the hospital’s own file: 8 payers, 28 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	Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
2	UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	—	—	—	$40 – $40
3	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · inpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
4	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges	$141	$141	—	—	—	$141 – $141
5	Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
6	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
7	Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
8	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
9	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
10	Cigna local plus facility · percent of total billed charges · inpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
11	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
12	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	—	—	—	$184 – $184
13	Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges	$203	$203	—	—	—	$203 – $203
14	Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$203	$203	—	—	—	$203 – $203
15	Cigna hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
16	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
17	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
18	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
19	Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
20	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
21	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
22	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
23	Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
24	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$219	$219	—	—	—	$219 – $219
25	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$219	$219	—	—	—	$219 – $219

Page 1 of 2 · 28 rates

Last updated: Jun 13, 2026

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