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
Forearm Splint Pad Xs Lt
Based on 188–1,124 billing samples across every hospital reporting.
Low
$0
Average
$311
Median
$86
High
$11.8k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 513 hospitals; the 90th percentile is 61.1× 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 | The Carle Foundation Hospital Urbana, IL | $22 | $41 | $70 | 170% | 135–594 | $2 – $343 |
| 2 | Mary Bridge Children's Hospital Tacoma, WA | $45 | $94 | $80 | 85% | 14–140 | $22 – $326 |
| 3 | Sanford Fargo Medical Center Fargo, ND | $22 | $103 | $126 | 122% | 11–110 | $4 – $356 |
| 4 | Allina Health Systems Owatonna, MN | $50 | $103 | $141 | 137% | 4–40 | $0 – $652 |
| 5 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $83 | $87 | $29 | 33% | 4–40 | $30 – $158 |
| 6 | Allina Health Systems Cambridge, MN | $49 | $102 | $140 | 137% | 4–40 | $0 – $652 |
| 7 | Allina Health Systems Faribault, MN | $48 | $101 | $139 | 138% | 4–40 | $0 – $652 |
| 8 | Allina Health Systems Buffalo, MN | $48 | $101 | $139 | 138% | 4–40 | $0 – $652 |
| 9 | Allina Health Systems Shakopee, MN | $46 | $99 | $138 | 139% | 2–20 | $0 – $652 |
| 10 | Saint Luke’s North Hospital Smithville, MO | $405 | $474 | $167 | 35% | 1–10 | $198 – $899 |
Ask Claude or any MCP client for HCPCS L3999 pricing at a specific hospital — see how to connect.