Custom shoulder-to-hand orthosis without 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 SEWHO STATIC W/CAP/SHLDR LT

Pasadena, TX

See all hospitals reporting HCPCS L3961 →

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How this price compares nationally

Pmc Hospital, Llc’s median price of $666 is 65% below the median hospital's median price ($1.9k), higher than 2% of the 896 hospitals reporting HCPCS L3961. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3961 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	$451	$451	—	—	—	$451 – $451
2	Blue Cross Blue Shield commercial\|blue premier fee schedule · outpatient	$473	$473	—	—	—	$473 – $473
3	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$473	$473	—	—	—	$473 – $473
4	UnitedHealthcare commercial\|exchange fee schedule · outpatient	$516	$516	—	—	—	$516 – $516
5	Blue Cross Blue Shield commercial\|blue premier fee schedule · inpatient	$537	$537	—	—	—	$537 – $537
6	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · outpatient	$559	$559	—	—	—	$559 – $559
7	UnitedHealthcare commercial\|exchange fee schedule · inpatient	$559	$559	—	—	—	$559 – $559
8	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$580	$580	—	—	—	$580 – $580
9	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · inpatient	$602	$602	—	—	—	$602 – $602
10	UnitedHealthcare commercial\|charter fee schedule · outpatient	$602	$602	—	—	—	$602 – $602
11	Blue Cross Blue Shield commercial\|hmo fee schedule · inpatient	$623	$623	—	—	—	$623 – $623
12	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$645	$645	—	—	—	$645 – $645
13	Cigna commercial\|hmo fee schedule · inpatient	$645	$645	—	—	—	$645 – $645
14	Cigna commercial\|hmo fee schedule · outpatient	$645	$645	—	—	—	$645 – $645
15	Cigna commercial\|ppo fee schedule · inpatient	$645	$645	—	—	—	$645 – $645
16	Cigna commercial\|ppo fee schedule · outpatient	$645	$645	—	—	—	$645 – $645
17	Cigna commercial\|surefit fee schedule · inpatient	$645	$645	—	—	—	$645 – $645
18	Cigna commercial\|surefit fee schedule · outpatient	$645	$645	—	—	—	$645 – $645
19	Blue Cross Blue Shield commercial\|ppo fee schedule · inpatient	$666	$666	—	—	—	$666 – $666
20	UnitedHealthcare commercial\|charter fee schedule · inpatient	$666	$666	—	—	—	$666 – $666
21	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$666	$666	—	—	—	$666 – $666
22	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$666	$666	—	—	—	$666 – $666
23	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$752	$752	—	—	—	$752 – $752
24	UnitedHealthcare commercial\|ppo fee schedule · inpatient	$752	$752	—	—	—	$752 – $752
25	Humana commercial\|hmo fee schedule · inpatient	$903	$903	—	—	—	$903 – $903

Page 1 of 2 · 36 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Custom shoulder-to-hand orthosis without joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.