Custom shoulder abduction orthosis with thoracic support bar 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 SEWHFO STAT AIRPLNE/SHLDR RT

Pasadena, TX

See all hospitals reporting HCPCS L3976 →

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How this price compares nationally

Pmc Hospital, Llc’s median price of $229 is 88% below the median hospital's median price ($1.9k), higher than 0% of the 859 hospitals reporting HCPCS L3976. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3976 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	$155	$155	—	—	—	$155 – $155
2	Blue Cross Blue Shield commercial\|blue premier fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
3	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$162	$162	—	—	—	$162 – $162
4	UnitedHealthcare commercial\|exchange fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
5	Blue Cross Blue Shield commercial\|blue premier fee schedule · inpatient	$184	$184	—	—	—	$184 – $184
6	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
7	UnitedHealthcare commercial\|exchange fee schedule · inpatient	$192	$192	—	—	—	$192 – $192
8	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$199	$199	—	—	—	$199 – $199
9	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · inpatient	$206	$206	—	—	—	$206 – $206
10	UnitedHealthcare commercial\|charter fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
11	Blue Cross Blue Shield commercial\|hmo fee schedule · inpatient	$214	$214	—	—	—	$214 – $214
12	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
13	Cigna commercial\|hmo fee schedule · inpatient	$221	$221	—	—	—	$221 – $221
14	Cigna commercial\|hmo fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
15	Cigna commercial\|ppo fee schedule · inpatient	$221	$221	—	—	—	$221 – $221
16	Cigna commercial\|ppo fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
17	Cigna commercial\|surefit fee schedule · inpatient	$221	$221	—	—	—	$221 – $221
18	Cigna commercial\|surefit fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
19	Blue Cross Blue Shield commercial\|ppo fee schedule · inpatient	$229	$229	—	—	—	$229 – $229
20	UnitedHealthcare commercial\|charter fee schedule · inpatient	$229	$229	—	—	—	$229 – $229
21	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
22	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
23	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$258	$258	—	—	—	$258 – $258
24	UnitedHealthcare commercial\|ppo fee schedule · inpatient	$258	$258	—	—	—	$258 – $258
25	Humana commercial\|hmo fee schedule · inpatient	$310	$310	—	—	—	$310 – $310

Page 1 of 2 · 36 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Custom shoulder abduction orthosis with thoracic support bar pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.