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
C SEWHO DYNA W/CAP/SHLDR LT
Pasadena, TX
See all hospitals reporting HCPCS L3971 →Price type
Pmc Hospital, Llc’s median price of $746 is 65% below the median hospital's median price ($2.2k), higher than 2% of the 878 hospitals reporting HCPCS L3971. 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $505.39 | $505.39 | $505.39 – $505.39 |
| 2 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $529.46 | $529.46 | $529.46 – $529.46 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $529.46 | $529.46 | $529.46 – $529.46 |
| 4 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $577.59 | $577.59 | $577.59 – $577.59 |
| 5 | Blue Cross Blue Shield commercial|blue premier fee schedule · inpatient | $601.65 | $601.65 | $601.65 – $601.65 |
| 6 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $625.72 | $625.72 | $625.72 – $625.72 |
| 7 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $625.72 | $625.72 | $625.72 – $625.72 |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $649.79 | $649.79 | $649.79 – $649.79 |
| 9 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $673.85 | $673.85 | $673.85 – $673.85 |
| 10 | UnitedHealthcare commercial|charter fee schedule · outpatient | $673.85 | $673.85 | $673.85 – $673.85 |
| 11 | Blue Cross Blue Shield commercial|hmo fee schedule · inpatient | $697.92 | $697.92 | $697.92 – $697.92 |
| 12 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 13 | Cigna commercial|hmo fee schedule · inpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 14 | Cigna commercial|hmo fee schedule · outpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 15 | Cigna commercial|ppo fee schedule · inpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 17 | Cigna commercial|surefit fee schedule · inpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 18 | Cigna commercial|surefit fee schedule · outpatient | $721.98 | $721.98 | $721.98 – $721.98 |
| 19 | Blue Cross Blue Shield commercial|ppo fee schedule · inpatient | $746.05 | $746.05 | $746.05 – $746.05 |
| 20 | UnitedHealthcare commercial|charter fee schedule · inpatient | $746.05 | $746.05 | $746.05 – $746.05 |
| 21 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $746.05 | $746.05 | $746.05 – $746.05 |
| 22 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $746.05 | $746.05 | $746.05 – $746.05 |
| 23 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $842.31 | $842.31 | $842.31 – $842.31 |
| 24 | UnitedHealthcare commercial|ppo fee schedule · inpatient | $842.31 | $842.31 | $842.31 – $842.31 |
| 25 | Humana commercial|hmo fee schedule · inpatient | $1,011 | $1,011 | $1,011 – $1,011 |
Last updated: Feb 28, 2026
See Custom shoulder-elbow-wrist-hand brace with shoulder cap pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.