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 HFO W/JOINTS CUSTOM
Astoria, OR
See all hospitals reporting HCPCS L3921 →Price type
Columbia Lutheran Charities’s median price of $423 is 16% above the median hospital's median price ($364), higher than 75% of the 1,216 hospitals reporting HCPCS L3921. 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 | $212 | $212 | — | — | — | $212 – $212 |
| 2 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 3 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 4 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $212 | $212 | — | — | — | $212 – $212 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $264 | $264 | — | — | — | $264 – $264 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $523 | $523 | — | — | — | $523 – $523 |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $529 | $529 | — | — | — | $529 – $529 |
| 10 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $559 | $559 | — | — | — | $559 – $559 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $559 | $559 | — | — | — | $559 – $559 |
| 12 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
| 13 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
| 14 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $564 | $564 | — | — | — | $564 – $564 |
Last updated: Jan 5, 2026
See Custom hand and finger brace with elastic bands pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.