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
SPLINT CLAVICLE MEDIUM 79-85005
San Angelo, TX
See all hospitals reporting HCPCS L3650 →Price type
Shannon River Crest Hospital’s median price of $156 is 119% above the median hospital's median price ($71), higher than 94% of the 1,497 hospitals reporting HCPCS L3650. 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 | Humana medicare advantage facility · case rate · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 2 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $156 | $132 | $54 | 41% | — | $11 – $156 |
| 3 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $156 | $132 | $54 | 41% | — | $11 – $156 |
| 4 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $170 | $144 | $59 | 41% | — | $12 – $170 |
| 5 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 6 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 10 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 11 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 12 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $177 | $150 | $61 | 41% | — | $13 – $177 |
| 13 | Ambetter ppo facility · case rate · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $184 | $156 | $64 | 41% | — | $13 – $184 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $184 | $156 | $64 | 41% | — | $13 – $184 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $189 | $160 | $65 | 41% | — | $14 – $189 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $189 | $160 | $65 | 41% | — | $14 – $189 |
Last updated: Dec 8, 2025
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