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

Ulm, MN

See all hospitals reporting HCPCS L3921 →

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $552 is 52% above the median hospital's median price ($364), higher than 89% 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, 24 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	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$166	$166	—	—	—	$166 – $166
2	Bcbs Mn bc pmap (n) facility · other · outpatient	$209	$209	—	—	—	$209 – $209
3	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
4	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$336	$336	—	—	—	$336 – $336
5	Medicare medicare (n) facility · fee schedule · outpatient	$354	$354	—	—	—	$354 – $354
6	Medicaid medicaid ma (n) facility · other · outpatient	$362	$362	—	—	—	$362 – $362
7	Medica medica medicare (r) facility · fee schedule · outpatient	$367	$367	—	—	—	$367 – $367
8	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
9	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$384	$384	—	—	—	$384 – $384
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$506	$506	—	—	—	$506 – $506
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$511	$511	—	—	—	$511 – $511
12	Bcbs Mn bc state health plan (n) facility · other · outpatient	$517	$517	—	—	—	$517 – $517
13	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$547	$547	—	—	—	$547 – $547
14	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$552	$552	—	—	—	$552 – $552
15	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$661	$661	—	—	—	$661 – $661
16	Bcbs Mn bc premier(n) facility · other · outpatient	$664	$664	—	—	—	$664 – $664
17	Cigna hpi cigna (n) facility · other · outpatient	$676	$676	—	—	—	$676 – $676
18	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$694	$694	—	—	—	$694 – $694
19	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$694	$694	—	—	—	$694 – $694
20	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$694	$694	—	—	—	$694 – $694
21	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$699	$699	—	—	—	$699 – $699
22	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$706	$706	—	—	—	$706 – $706
23	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$781	$781	—	—	—	$781 – $781
24	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$839	$839	—	—	—	$839 – $839

Last updated: Jun 16, 2026

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