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
LSO ISOFORM S/M 11-1696-2 11-1696-2
Big Spring, TX
See all hospitals reporting HCPCS L0631 →Price type
Shannon Medical Center Big Spring’s median price of $1.2k is 3% below the median hospital's median price ($1.3k), higher than 35% of the 1,104 hospitals reporting HCPCS L0631. 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, 17 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 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $135 | $912 | $1.1k | 121% | — | $135 – $2.5k |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $135 | $912 | $1.1k | 121% | — | $135 – $2.5k |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $147 | $995 | $1.2k | 121% | — | $147 – $2.7k |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $153 | $1.0k | $1.2k | 121% | — | $153 – $2.8k |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $159 | $1.1k | $1.3k | 121% | — | $159 – $2.9k |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $159 | $1.1k | $1.3k | 121% | — | $159 – $2.9k |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $163 | $1.1k | $1.3k | 121% | — | $163 – $3.0k |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $163 | $1.1k | $1.3k | 121% | — | $163 – $3.0k |
| 16 | Humana medicare advantage facility · case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Ambetter ppo facility · case rate · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Apr 8, 2026
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