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
HC SPLNT E/W/H LNG ARM
Enumclaw, WA
See all hospitals reporting HCPCS L3763 →Price type
Enumclaw Regional Hospital Association’s median price of $288 is 65% below the median hospital's median price ($831), higher than 8% of the 1,309 hospitals reporting HCPCS L3763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 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 | Kaiser medicare|all plans fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $158 | $158 | — | — | — | $158 – $158 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $161 | $161 | — | — | — | $161 – $161 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $257 | $257 | — | — | — | $257 – $257 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $259 | $259 | — | — | — | $259 – $259 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 14 | Aetna commercial|awh fee schedule · inpatient | $347 | $347 | — | — | — | $347 – $347 |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $416 | $416 | — | — | — | $416 – $416 |
| 16 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 17 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 18 | Cigna commercial|all plans fee schedule · outpatient | $434 | $434 | — | — | — | $434 – $434 |
| 19 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $451 | $451 | — | — | — | $451 – $451 |
| 20 | Cigna commercial|all plans fee schedule · inpatient | $477 | $477 | — | — | — | $477 – $477 |
| 21 | Aetna commercial|rental fee schedule · inpatient | $625 | $625 | — | — | — | $625 – $625 |
| 22 | Aetna commercial|rental fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
| 23 | Regence commercial|all plans fee schedule · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 24 | MultiPlan commercial|all plans fee schedule · inpatient | $781 | $781 | — | — | — | $781 – $781 |
| 25 | MultiPlan commercial|all plans fee schedule · outpatient | $781 | $781 | — | — | — | $781 – $781 |
Last updated: Feb 28, 2026
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