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
PO - UPPER EXT FRACTURE ORTHOSIS PREFAB
Hackensack, NJ
See all hospitals reporting HCPCS L3984 →Price type
Hmh Hospitals Corporation’s median price of $360 is 14% below the median hospital's median price ($419), higher than 29% of the 1,098 hospitals reporting HCPCS L3984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 11 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $93 | $93 | — | — | — | $93 – $93 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 4 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $252 | $252 | — | — | — | $252 – $252 |
| 5 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 6 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $273 | $273 | — | — | — | $273 – $273 |
| 7 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $361 | $361 | — | — | — | $361 – $361 |
| 8 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $361 | $361 | — | — | — | $361 – $361 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $361 | $361 | — | — | — | $361 – $361 |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $411 | $411 | — | — | — | $411 – $411 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $437 | $437 | — | — | — | $437 – $437 |
Last updated: Dec 31, 2025
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