Custom rigid elbow, wrist and hand brace at Carle BroMenn Medical Center

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

Ewho W/O Jnts Cf

Normal, IL

See all hospitals reporting HCPCS L3763 →

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Pricing by billing methodology

Price type

How this price compares nationally

Carle BroMenn Medical Center’s median price of $299 is 64% below the median hospital's median price ($831), higher than 9% of the 1,315 hospitals reporting HCPCS L3763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3763 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 23 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	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
4	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$213	$213	—	—	—	$213 – $213
5	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$249	$249	—	—	—	$249 – $249
6	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
7	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$279	$279	—	—	—	$279 – $279
8	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$280	$280	—	—	—	$280 – $280
9	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$281	$281	—	—	—	$281 – $281
10	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
11	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
12	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$340	$340	—	—	—	$340 – $340
13	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$430	$430	—	—	—	$430 – $430
14	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$430	$430	—	—	—	$430 – $430
15	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$442	$442	—	—	—	$442 – $442
16	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$442	$442	—	—	—	$442 – $442
17	Aetna medicare advantage case rate · outpatient	$837	$837	—	—	—	$837 – $837
18	Blue Cross Blue Shield medicare advantage case rate · outpatient	$837	$837	—	—	—	$837 – $837
19	Humana medicare advantage case rate · outpatient	$837	$837	—	—	—	$837 – $837
20	Molina medicare-medicaid (d-snp) case rate · outpatient	$837	$837	—	—	—	$837 – $837
21	UnitedHealthcare medicare advantage case rate · outpatient	$837	$837	—	—	—	$837 – $837
22	UnitedHealthcare va ccn/optum case rate · outpatient	$837	$837	—	—	—	$837 – $837
23	WellCare medicare advantage hmo case rate · outpatient	$837	$837	—	—	—	$837 – $837

Last updated: Apr 15, 2026

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