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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
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

River Falls, WI

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 $662 is 82% above the median hospital's median price ($364), higher than 94% 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: 8 payers, 20 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	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
2	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	—	—	—	$221 – $221
3	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$295	$295	—	—	—	$295 – $295
4	Aetna allina aetna medicare (r) facility · fee schedule · outpatient	$336	$336	—	—	—	$336 – $336
5	Medicare medicare (r) facility · fee schedule · outpatient	$354	$354	—	—	—	$354 – $354
6	Medicaid medicaid ma (r) facility · fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
7	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
8	Medica medica medicare (r) facility · fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
9	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$494	$494	—	—	—	$494 – $494
10	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$508	$508	—	—	—	$508 – $508
11	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$652	$652	—	—	—	$652 – $652
12	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$672	$672	—	—	—	$672 – $672
13	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$679	$679	—	—	—	$679 – $679
14	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$726	$726	—	—	—	$726 – $726
15	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$734	$734	—	—	—	$734 – $734
16	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$767	$767	—	—	—	$767 – $767
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$922	$922	—	—	—	$922 – $922
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$922	$922	—	—	—	$922 – $922
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$928	$928	—	—	—	$928 – $928
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$937	$937	—	—	—	$937 – $937

Last updated: Jun 15, 2026

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