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/O JTS CUSTOM
Astoria, OR
See all hospitals reporting HCPCS L3906 →Price type
Columbia Lutheran Charities’s median price of $564 is 21% above the median hospital's median price ($467), higher than 73% of the 1,408 hospitals reporting HCPCS L3906. 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 | $282 | $282 | — | — | — | $282 – $282 |
| 2 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 3 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $282 | $282 | — | — | — | $282 – $282 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $296 | $296 | — | — | — | $296 – $296 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $697 | $697 | — | — | — | $697 – $697 |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $705 | $705 | — | — | — | $705 – $705 |
| 10 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $744 | $744 | — | — | — | $744 – $744 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $744 | $744 | — | — | — | $744 – $744 |
| 12 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $752 | $752 | — | — | — | $752 – $752 |
| 13 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $752 | $752 | — | — | — | $752 – $752 |
| 14 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $752 | $752 | — | — | — | $752 – $752 |
Last updated: Jan 5, 2026
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