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.
Original text from hospital filings
OT WHO W/NON TORSION JTS CUSTOM
Astoria, OR
See all hospitals reporting HCPCS L3905 →Price type
Columbia Lutheran Charities’s median price of $1.3k is 17% above the median hospital's median price ($1.1k), higher than 78% of the 1,132 hospitals reporting HCPCS L3905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 14 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 molina ma - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $655 | $655 | — | — | — | $655 – $655 |
| 2 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $655 | $655 | — | — | — | $655 – $655 |
| 3 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $655 | $655 | — | — | — | $655 – $655 |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $655 | $655 | — | — | — | $655 – $655 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $673 | $673 | — | — | — | $673 – $673 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $688 | $688 | — | — | — | $688 – $688 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $816 | $816 | — | — | — | $816 – $816 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Jan 5, 2026
See Custom-fabricated wrist and hand brace with adjustable joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.