Custom-made shoulder brace without joints at Mercy Hospital Springfield

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.

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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

Fa Aquaform Humerus Fx Brace L Large

Ozark, MO

See all hospitals reporting HCPCS L3671 →

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Pricing by billing methodology

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How this price compares nationally

Mercy Hospital Springfield’s median price of $45 is 96% below the median hospital's median price ($1.0k), higher than 1% of the 986 hospitals reporting HCPCS L3671. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3671 at Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 14 payers, 23 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	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$27	$27	$0	1%	—	$26 – $27
2	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
3	Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
4	Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
5	Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
6	Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
7	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
8	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	$0	1%	—	$30 – $31
9	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	$1	1%	—	$49 – $50
10	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	$1	1%	—	$49 – $50
11	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$52	$52	$1	1%	—	$51 – $53
12	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	$1	1%	—	$54 – $56
13	Tricare hb sprg tricare facility · fee schedule · outpatient	$802	$802	—	—	—	$802 – $802
14	Aetna hb sprg medicare facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
15	Blue Cross Blue Shield hb sprg medicare facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
16	Cigna hb sprg medicare facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
17	Devoted hb sprg devoted health medicare advantage 104% w/seq facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
18	Humana hb sprg humana medicare 100% facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
19	Medica hb sprg medicare facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
20	Medicare hb sprg medicare facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
21	UnitedHealthcare hb sprg medicare facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
22	UnitedHealthcare hb sprg uhc mcr 100% facility · fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
23	WellCare hb sprg & lebn wellcare mcr 103% facility · fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Last updated: Jun 4, 2026

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