Custom shoulder-elbow-wrist-hand brace with shoulder cap at Methodist Hospital

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

Shoulder elbow wrist hand orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and

SAN ANTONIO, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Methodist Hospital’s median price of $2.2k is about the same as the median hospital's median price ($2.2k), higher than 55% of the 878 hospitals reporting HCPCS L3971. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3971 at Methodist Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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 mgmcrhmo fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
4	Devoted dualeligible fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
5	Devoted mcrhmo fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
6	Devoted mcrpffs fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
7	Devoted mcrpos fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
8	Devoted mcrppo fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
9	Devoted mcrsnp fee schedule · outpatient	$2,117	$2,117	$2,117 – $2,117
10	Aetna mcr fee schedule · outpatient	$2,157	$2,157	$2,157 – $2,157
11	UnitedHealthcare mcr fee schedule · outpatient	$2,160	$2,160	$2,160 – $2,160
12	WellCare mcrhmo fee schedule · outpatient	$2,181	$2,181	$2,181 – $2,181
13	WellCare mcrpos fee schedule · outpatient	$2,181	$2,181	$2,181 – $2,181
14	WellCare mcrppo fee schedule · outpatient	$2,181	$2,181	$2,181 – $2,181
15	WellCare mcrsnp fee schedule · outpatient	$2,181	$2,181	$2,181 – $2,181
16	WellCare pffs fee schedule · outpatient	$2,181	$2,181	$2,181 – $2,181
17	Clover mcr fee schedule · outpatient	$2,223	$2,223	$2,223 – $2,223
18	Molina mcr fee schedule · outpatient	$3,366	$3,366	$3,366 – $3,366
19	Molina mme-mmp fee schedule · outpatient	$3,366	$3,366	$3,366 – $3,366
20	Optum comm fee schedule · outpatient	$5,293	$5,293	$5,293 – $5,293

Last updated: May 1, 2026

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