Humerus fracture treatment at Pmc Hospital, Llc

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

CL TX HUM M/L EPICONDY FX WO/M

Pasadena, TX

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Pricing by billing methodology

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How this price compares nationally

Pmc Hospital, Llc’s median price of $245 is 40% below the median hospital's median price ($412), higher than 12% of the 1,769 hospitals reporting CPT 24560. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 24560 at Pmc Hospital, Llc

Negotiated rates from the hospital’s own file: 10 payers, 33 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	UnitedHealthcare medicaid\|all other plans case rate · outpatient	$87	$87	—	—	—	$87 – $87
2	UnitedHealthcare medicaid\|star case rate · outpatient	$117	$117	—	—	—	$117 – $117
3	Cigna commercial\|transplant fee schedule · outpatient	$139	$139	$11	8%	—	$128 – $149
4	First Health commercial\|all plans fee schedule · inpatient	$139	$139	—	—	—	$139 – $139
5	First Health commercial\|all plans fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
6	Aetna commercial\|ppo fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
7	Cigna commercial\|transplant fee schedule · inpatient	$149	$149	—	—	—	$149 – $149
8	MultiPlan commercial\|all plans fee schedule · inpatient	$160	$160	—	—	—	$160 – $160
9	MultiPlan commercial\|all plans fee schedule · outpatient	$160	$160	—	—	—	$160 – $160
10	Blue Cross Blue Shield commercial\|exchange case rate · outpatient	$162	$162	—	—	—	$162 – $162
11	Aetna commercial\|transplant fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
12	Blue Cross Blue Shield commercial\|myblue health exchange case rate · outpatient	$207	$207	—	—	—	$207 – $207
13	Blue Cross Blue Shield medicare\|all plans case rate · outpatient	$240	$240	—	—	—	$240 – $240
14	Cigna Healthspring medicare\|all plans case rate · outpatient	$240	$240	—	—	—	$240 – $240
15	Humana medicare\|all plans case rate · outpatient	$240	$240	—	—	—	$240 – $240
16	Aetna medicare\|all plans case rate · outpatient	$245	$245	—	—	—	$245 – $245
17	UnitedHealthcare medicare\|all plans case rate · outpatient	$245	$245	—	—	—	$245 – $245
18	UnitedHealthcare medicaid\|starplus case rate · outpatient	$266	$266	—	—	—	$266 – $266
19	Blue Cross Blue Shield commercial\|blue premier case rate · outpatient	$313	$313	—	—	—	$313 – $313
20	Ambetter commercial\|all plans case rate · outpatient	$360	$360	—	—	—	$360 – $360
21	Blue Cross Blue Shield commercial\|hmo case rate · outpatient	$371	$371	—	—	—	$371 – $371
22	Blue Cross Blue Shield commercial\|ppo case rate · outpatient	$414	$414	—	—	—	$414 – $414
23	Aetna commercial\|hmo case rate · outpatient	$890	$890	$83	9%	—	$807 – $972
24	UnitedHealthcare commercial\|exchange case rate · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
25	Cigna commercial\|surefit case rate · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k

Page 1 of 2 · 33 rates

Last updated: Feb 28, 2026

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