Custom-fabricated wrist and hand brace with adjustable joints 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

C WHO DYNAMIC/WRIST HAND LT

Pasadena, TX

See all hospitals reporting HCPCS L3905 →

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How this price compares nationally

Pmc Hospital, Llc’s median price of $416 is 63% below the median hospital's median price ($1.1k), higher than 6% of the 1,125 hospitals reporting HCPCS L3905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3905 at Pmc Hospital, Llc

Negotiated rates from the hospital’s own file: 7 payers, 36 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 commercial\|exchange fee schedule · outpatient	$274	$274	$8	3%	—	$266 – $282
2	Blue Cross Blue Shield commercial\|blue premier fee schedule · outpatient	$287	$287	$8	3%	—	$279 – $295
3	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$287	$287	$8	3%	—	$279 – $295
4	UnitedHealthcare commercial\|exchange fee schedule · outpatient	$313	$313	$9	3%	—	$304 – $322
5	Blue Cross Blue Shield commercial\|blue premier fee schedule · inpatient	$326	$326	$9	3%	—	$317 – $335
6	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · outpatient	$339	$339	$9	3%	—	$330 – $349
7	UnitedHealthcare commercial\|exchange fee schedule · inpatient	$339	$339	$9	3%	—	$330 – $349
8	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$352	$352	$10	3%	—	$342 – $362
9	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · inpatient	$365	$365	$10	3%	—	$355 – $375
10	UnitedHealthcare commercial\|charter fee schedule · outpatient	$365	$365	$10	3%	—	$355 – $375
11	Blue Cross Blue Shield commercial\|hmo fee schedule · inpatient	$378	$378	$11	3%	—	$368 – $389
12	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$391	$391	$11	3%	—	$381 – $402
13	Cigna commercial\|hmo fee schedule · inpatient	$391	$391	$11	3%	—	$381 – $402
14	Cigna commercial\|hmo fee schedule · outpatient	$391	$391	$11	3%	—	$381 – $402
15	Cigna commercial\|ppo fee schedule · inpatient	$391	$391	$11	3%	—	$381 – $402
16	Cigna commercial\|ppo fee schedule · outpatient	$391	$391	$11	3%	—	$381 – $402
17	Cigna commercial\|surefit fee schedule · inpatient	$391	$391	$11	3%	—	$381 – $402
18	Cigna commercial\|surefit fee schedule · outpatient	$391	$391	$11	3%	—	$381 – $402
19	Blue Cross Blue Shield commercial\|ppo fee schedule · inpatient	$404	$404	$11	3%	—	$393 – $416
20	UnitedHealthcare commercial\|charter fee schedule · inpatient	$404	$404	$11	3%	—	$393 – $416
21	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$404	$404	$11	3%	—	$393 – $416
22	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$404	$404	$11	3%	—	$393 – $416
23	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$457	$457	$13	3%	—	$444 – $469
24	UnitedHealthcare commercial\|ppo fee schedule · inpatient	$457	$457	$13	3%	—	$444 – $469
25	Humana commercial\|hmo fee schedule · inpatient	$548	$548	$15	3%	—	$533 – $563

Page 1 of 2 · 36 rates

Last updated: Feb 28, 2026

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