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 SEWHFO DYNMC W/CAP/SHDLER RT
Pasadena, TX
See all hospitals reporting HCPCS L3977 →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 873 hospitals reporting HCPCS L3977. 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 | $505 | $505 | — | — | — | $505 – $505 |
| 2 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $529 | $529 | — | — | — | $529 – $529 |
| 4 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $578 | $578 | — | — | — | $578 – $578 |
| 5 | Blue Cross Blue Shield commercial|blue premier fee schedule · inpatient | $602 | $602 | — | — | — | $602 – $602 |
| 6 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · outpatient | $626 | $626 | — | — | — | $626 – $626 |
| 7 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $626 | $626 | — | — | — | $626 – $626 |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $650 | $650 | — | — | — | $650 – $650 |
| 9 | Blue Cross Blue Shield commercial|myblue health exchange fee schedule · inpatient | $674 | $674 | — | — | — | $674 – $674 |
| 10 | UnitedHealthcare commercial|charter fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 11 | Blue Cross Blue Shield commercial|hmo fee schedule · inpatient | $698 | $698 | — | — | — | $698 – $698 |
| 12 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 13 | Cigna commercial|hmo fee schedule · inpatient | $722 | $722 | — | — | — | $722 – $722 |
| 14 | Cigna commercial|hmo fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 15 | Cigna commercial|ppo fee schedule · inpatient | $722 | $722 | — | — | — | $722 – $722 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 17 | Cigna commercial|surefit fee schedule · inpatient | $722 | $722 | — | — | — | $722 – $722 |
| 18 | Cigna commercial|surefit fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 19 | Blue Cross Blue Shield commercial|ppo fee schedule · inpatient | $746 | $746 | — | — | — | $746 – $746 |
| 20 | UnitedHealthcare commercial|charter fee schedule · inpatient | $746 | $746 | — | — | — | $746 – $746 |
| 21 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 22 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 23 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $842 | $842 | — | — | — | $842 – $842 |
| 24 | UnitedHealthcare commercial|ppo fee schedule · inpatient | $842 | $842 | — | — | — | $842 – $842 |
| 25 | Humana commercial|hmo fee schedule · inpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Feb 28, 2026
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