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.
Original text from hospital filings
P WHO DYN W/NON TORSION JT RT
Pasadena, TX
See all hospitals reporting HCPCS L3915 →Price type
Pmc Hospital, Llc’s median price of $211 is 65% below the median hospital's median price ($609), higher than 2% of the 944 hospitals reporting HCPCS L3915. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $140 | $140 | $3 | 2% | — | $136 – $143 |
| 2 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $146 | $146 | $3 | 2% | — | $143 – $150 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $146 | $146 | $3 | 2% | — | $143 – $150 |
| 4 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $160 | $160 | $4 | 2% | — | $156 – $163 |
| 5 | Blue Cross Blue Shield commercial|blue premier fee schedule · inpatient | $166 | $166 | $4 | 2% | — | $162 – $170 |
| 6 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $173 | $173 | $4 | 2% | — | $169 – $177 |
| 7 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $173 | $173 | $4 | 2% | — | $169 – $177 |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $179 | $179 | $4 | 2% | — | $175 – $184 |
| 9 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $186 | $186 | $4 | 2% | — | $182 – $191 |
| 10 | UnitedHealthcare commercial|charter fee schedule · outpatient | $186 | $186 | $4 | 2% | — | $182 – $191 |
| 11 | Blue Cross Blue Shield commercial|hmo fee schedule · inpatient | $193 | $193 | $5 | 2% | — | $188 – $197 |
| 12 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 13 | Cigna commercial|hmo fee schedule · inpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 14 | Cigna commercial|hmo fee schedule · outpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 15 | Cigna commercial|ppo fee schedule · inpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 17 | Cigna commercial|surefit fee schedule · inpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 18 | Cigna commercial|surefit fee schedule · outpatient | $199 | $199 | $5 | 2% | — | $195 – $204 |
| 19 | Blue Cross Blue Shield commercial|ppo fee schedule · inpatient | $206 | $206 | $5 | 2% | — | $201 – $211 |
| 20 | UnitedHealthcare commercial|charter fee schedule · inpatient | $206 | $206 | $5 | 2% | — | $201 – $211 |
| 21 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $206 | $206 | $5 | 2% | — | $201 – $211 |
| 22 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $206 | $206 | $5 | 2% | — | $201 – $211 |
| 23 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $233 | $233 | $6 | 2% | — | $227 – $238 |
| 24 | UnitedHealthcare commercial|ppo fee schedule · inpatient | $233 | $233 | $6 | 2% | — | $227 – $238 |
| 25 | Humana commercial|hmo fee schedule · inpatient | $279 | $279 | $7 | 2% | — | $273 – $286 |
Last updated: Feb 28, 2026
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