Prefabricated ankle control orthosis (brace) at Shannon River Crest Hospital

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BRACE ANKLE SURROUND MEDIUM 79-81195

San Angelo, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Shannon River Crest Hospital’s median price of $40 is 65% below the median hospital's median price ($116), higher than 13% of the 1,568 hospitals reporting HCPCS L4350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4350 at Shannon River Crest Hospital

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	$33	$33	$2	7%	—	$30 – $35
2	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	$2	7%	—	$30 – $35
3	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	$3	7%	—	$33 – $39
4	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
5	Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
6	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
7	Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
8	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
9	Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
10	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
11	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$3	7%	—	$35 – $40
12	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$39	$39	$3	7%	—	$36 – $42
13	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$39	$39	$3	7%	—	$36 – $42
14	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$40	$40	$3	7%	—	$37 – $43
15	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	$3	7%	—	$37 – $43
16	Humana medicare advantage facility · case rate · outpatient	$104	$104	—	—	—	$104 – $104
17	Ambetter ppo facility · case rate · outpatient	$223	$223	—	—	—	$223 – $223

Last updated: Dec 8, 2025

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