Custom elbow, wrist and hand brace with adjustable joints 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/Joint(S) Cf

Normal, IL

See all hospitals reporting HCPCS L3764 →

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Pricing by billing methodology

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How this price compares nationally

Carle BroMenn Medical Center’s median price of $346 is 62% below the median hospital's median price ($920), higher than 2% of the 1,050 hospitals reporting HCPCS L3764. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3764 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	$105	$105	—	—	—	$105 – $105
2	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
3	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
4	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$246	$246	—	—	—	$246 – $246
5	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$288	$288	—	—	—	$288 – $288
6	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$314	$314	—	—	—	$314 – $314
7	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$322	$322	—	—	—	$322 – $322
8	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$323	$323	—	—	—	$323 – $323
9	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
10	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
11	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
12	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$393	$393	—	—	—	$393 – $393
13	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$450	$450	—	—	—	$450 – $450
14	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$450	$450	—	—	—	$450 – $450
15	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$463	$463	—	—	—	$463 – $463
16	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$463	$463	—	—	—	$463 – $463
17	Aetna medicare advantage case rate · outpatient	$876	$876	—	—	—	$876 – $876
18	Blue Cross Blue Shield medicare advantage case rate · outpatient	$876	$876	—	—	—	$876 – $876
19	Humana medicare advantage case rate · outpatient	$876	$876	—	—	—	$876 – $876
20	Molina medicare-medicaid (d-snp) case rate · outpatient	$876	$876	—	—	—	$876 – $876
21	UnitedHealthcare medicare advantage case rate · outpatient	$876	$876	—	—	—	$876 – $876
22	UnitedHealthcare va ccn/optum case rate · outpatient	$876	$876	—	—	—	$876 – $876
23	WellCare medicare advantage hmo case rate · outpatient	$876	$876	—	—	—	$876 – $876

Last updated: Apr 15, 2026

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