Custom hand and finger brace with elastic bands at Allina Health Systems

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG CSTM L3921 HFO W/JOINT(S) CF

Rapids, MN

See all hospitals reporting HCPCS L3921 →

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $409 is 12% above the median hospital's median price ($364), higher than 73% of the 1,216 hospitals reporting HCPCS L3921. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3921 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 27 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	UnitedHealthcare united healthcare (um) facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	Bcbs Mn bc pmap (amu) facility · other · outpatient	$140	$140	—	—	—	$140 – $140
3	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	—	—	—	$221 – $221
4	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$244	$244	—	—	—	$244 – $244
5	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$314	$314	—	—	—	$314 – $314
6	Bcbs Mn bc premier (m u) facility · other · outpatient	$334	$334	—	—	—	$334 – $334
7	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$336	$336	—	—	—	$336 – $336
8	Medicare medicare (m) facility · fee schedule · outpatient	$354	$354	—	—	—	$354 – $354
9	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
10	Medica medica medicare (m) facility · fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
11	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$371	$371	—	—	—	$371 – $371
12	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$387	$387	—	—	—	$387 – $387
13	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$393	$393	—	—	—	$393 – $393
14	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$411	$411	—	—	—	$411 – $411
15	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$421	$421	—	—	—	$421 – $421
16	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$449	$449	—	—	—	$449 – $449
17	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$487	$487	—	—	—	$487 – $487
18	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
19	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$644	$644	—	—	—	$644 – $644
20	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$815	$815	—	—	—	$815 – $815
21	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$851	$851	—	—	—	$851 – $851
22	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$851	$851	—	—	—	$851 – $851
23	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$878	$878	—	—	—	$878 – $878
24	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$895	$895	—	—	—	$895 – $895
25	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$922	$922	—	—	—	$922 – $922

Page 1 of 2 · 27 rates

Last updated: Jun 17, 2026

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