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
HFO W JNTS CUSTOM - REDOC 258
Low
$133
Average
$1.1k
Median
$432
High
$5.4k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 28 hospitals; the 90th percentile is 28.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN | $426 | $426 | $142 | 33% | — | $68 – $1.1k |
| 2 | Arthur G James Cancer Hospital And Research Institute Columbus, OH | $5.4k | $5.4k | $434 | 8% | — | $208 – $5.8k |
| 3 | Penn Medicine Princeton Medical Center Plainsboro, NJ | $351 | $351 | — | — | — | $137 – $1.5k |
| 4 | Morristown Medical Center Morristown, NJ | $138 | $139 | $21 | 15% | — | $66 – $160 |
| 5 | CentraState Medical Center Freehold Township, NJ | $127 | $133 | $18 | 14% | — | $68 – $152 |
| 6 | Chilton Medical Center Pompton Plains, NJ | $138 | $135 | $21 | 15% | — | $48 – $152 |
| 7 | Newton Medical Center Newton, NJ | $138 | $136 | $18 | 13% | — | $67 – $152 |
| 8 | Hackettstown Medical Center Hackettstown, NJ | $138 | $137 | $15 | 11% | — | $92 – $152 |
| 9 | Overlook Medical Center Summit, NJ | $138 | $139 | $21 | 15% | — | $64 – $160 |
| 10 | Marshfield Medical Center - Dickinson Iron Mountain, MI | $222 | $222 | — | — | — | $222 – $469 |
Ask Claude or any MCP client for HCPCS L3921 pricing at a specific hospital — see how to connect.