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
HC Who W/Nontorsion Jnt(S) Cf
San Angelo, TX
See all hospitals reporting HCPCS L3905 →Price type
Shannon River Crest Hospital’s median price of $497 is 56% below the median hospital's median price ($1.1k), higher than 7% of the 1,126 hospitals reporting HCPCS L3905. 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 | $437 | $437 | — | — | — | $437 – $437 |
| 2 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $437 | $437 | — | — | — | $437 – $437 |
| 3 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 4 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 5 | Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 7 | Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 8 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $497 | $497 | — | — | — | $497 – $497 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $516 | $516 | — | — | — | $516 – $516 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $516 | $516 | — | — | — | $516 – $516 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $530 | $530 | — | — | — | $530 – $530 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $530 | $530 | — | — | — | $530 – $530 |
| 16 | Humana medicare advantage facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Ambetter ppo facility · case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Dec 8, 2025
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