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
CUSTOM HAND-FINGER ORTHOTIC INCLUDES 1 OR MORE NONTORSION JOINTS
Duluth, MN
See all hospitals reporting HCPCS L3921 →Price type
Essentia Health Duluth’s median price of $285 is 22% below the median hospital's median price ($364), higher than 19% 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: 8 payers, 33 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 3 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 5 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 6 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 7 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 8 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 9 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 10 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 11 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 12 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | — | — | — | $210 – $210 |
| 13 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $215 | $215 | $11 | 5% | — | $205 – $226 |
| 14 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 15 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 16 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 17 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 19 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 20 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $271 | $271 | — | — | — | $271 – $271 |
| 22 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 24 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $315 | $315 | — | — | — | $315 – $315 |
| 25 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $315 | $315 | — | — | — | $315 – $315 |
Last updated: Jan 1, 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.