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
UPPER EXTREMITY FRACTURE ORTHOSIS; HUMERAL; PREFABRICATED; INCLUDES SHOULDER CAP DESIGN; WITH OR WITHOUT JOINTS; FOREARM SECTION; MAY INCLUDE SOFT INTERFACE; STRAPS; INCLUDES FITTING AND ADJUSTMENTS
Low
$55
Average
$603
Median
$145
High
$5.6k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 13.5× 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.
Filter by billing methodology
Filter by billing class
76 hospital rates
iThe hospitals that file a First Health rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $373 | $373 | — | — | — | $373 – $373 |
| 2 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $612 | $612 | — | — | — | $612 – $612 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 6 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 7 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 10 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $612 | $612 | — | — | — | $612 – $612 |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $91 | $91 | $17 | 19% | — | $74 – $108 |
| 19 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $607 | $607 | — | — | — | $607 – $607 |
| 21 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 25 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
← Payers reporting HCPCS L3981 · Snapshot 20261111T120946Z-9134e7f7