Custom hand and finger brace with elastic bands at Mayo Clinic

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC ORTHOSIS HAND W JTS CUSTOM

Rochester, MN

See all hospitals reporting HCPCS L3921 →

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How this price compares nationally

Mayo Clinic’s median price of $461 is 26% above the median hospital's median price ($364), higher than 79% of the 1,216 hospitals reporting HCPCS L3921. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3921 at Mayo Clinic

Negotiated rates from the hospital’s own file: 18 payers, 122 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	Blue Cross Blue Shield medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
2	Blue Cross Blue Shield medicaid base apr drg only [1277] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
3	Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
4	Molina medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
5	Ucare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
6	Ucare pps medicaid ucare [1184] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
7	UnitedHealthcare medicaid base apr drg only [1276] facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
8	Medica medica medicaid [1244] facility · percent of total billed charges · bothfrom % of charges	$237	$237	—	—	—	$237 – $237
9	Medica medica medicare advantage plan msho msc+ cap [167] facility · percent of total billed charges · bothfrom % of charges	$244	$244	—	—	—	$244 – $244
10	Medica medicaid medica choice care msc+ [1175] facility · percent of total billed charges · bothfrom % of charges	$244	$244	—	—	—	$244 – $244
11	Optum medica ma medicare advantage plan behavioral health [1350] facility · percent of total billed charges · bothfrom % of charges	$296	$296	—	—	—	$296 – $296
12	Optum veteran affairs optum [1054] professional · fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
13	Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
14	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient	$366	$366	—	—	—	$366 – $366
15	Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient	$366	$366	—	—	—	$366 – $366
16	Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
17	Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient	$377	$377	—	—	—	$377 – $377
18	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient	$377	$377	—	—	—	$377 – $377
19	Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient	$384	$384	—	—	—	$384 – $384
20	Blue Cross Blue Shield pps medicaid bcbs [1146] facility · fee schedule · both	$388	$388	—	—	—	$388 – $388
21	Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco southern [1123] facility · percent of total billed charges · bothfrom % of charges	$388	$388	—	—	—	$388 – $388
22	Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [228] facility · percent of total billed charges · bothfrom % of charges	$388	$388	—	—	1–10	$388 – $388
23	Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo [826] facility · percent of total billed charges · bothfrom % of charges	$388	$388	—	—	—	$388 – $388
24	Medica medica advantage solution by county medicare advantage plan [793] facility · percent of total billed charges · bothfrom % of charges	$388	$388	—	—	—	$388 – $388
25	Optum veteran affairs optum [1045] facility · percent of total billed charges · bothfrom % of charges	$388	$388	—	—	—	$388 – $388

Page 1 of 5 · 122 rates

Last updated: Aug 14, 2026

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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.