Custom rigid elbow, wrist and hand brace at Overlook Medical Center

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

Cf Ewho Rigid WO Jnts

Summit, NJ

See all hospitals reporting HCPCS L3763 →

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Pricing by billing methodology

Price type

How this price compares nationally

Overlook Medical Center’s median price of $907 is 9% above the median hospital's median price ($831), higher than 63% of the 1,315 hospitals reporting HCPCS L3763. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3763 at Overlook Medical Center

Negotiated rates from the hospital’s own file: 18 payers, 50 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	Anthem omc medicaid percent of total billed charges · bothfrom % of charges	$675	$675	—	—	—	$675 – $675
2	Medicaid omc medicaid percent of total billed charges · bothfrom % of charges	$675	$675	—	—	—	$675 – $675
3	Aetna omc aetna nnj prime fee schedule · both	$742	$742	—	—	—	$742 – $742
4	Aetna omc aetna nnj prime fee schedule · outpatient	$742	$742	—	—	—	$742 – $742
5	Tricare omc tricare-east (humana military) fee schedule · both	$792	$792	—	—	—	$792 – $792
6	Tricare omc tricare-east (humana military) fee schedule · outpatient	$792	$792	—	—	—	$792 – $792
7	Aetna omc aetna percent of total billed charges · bothfrom % of charges	$809	$809	—	—	—	$809 – $809
8	Aetna omc aetna whole health percent of total billed charges · bothfrom % of charges	$809	$809	—	—	—	$809 – $809
9	Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges	$810	$810	—	—	—	$810 – $810
10	Aetna omc aetna ahs employee fee schedule · both	$825	$825	—	—	—	$825 – $825
11	Aetna omc aetna ahs employee fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
12	Aetna omc aetna medicare fee schedule · both	$825	$825	—	—	—	$825 – $825
13	Aetna omc aetna medicare fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
14	Anthem omc horizon braven fee schedule · both	$825	$825	—	—	—	$825 – $825
15	Anthem omc horizon braven fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
16	Blue Cross Blue Shield omc horizon braven fee schedule · both	$825	$825	—	—	—	$825 – $825
17	Blue Cross Blue Shield omc horizon braven fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
18	Cigna omc cigna medicare fee schedule · both	$825	$825	—	—	—	$825 – $825
19	Cigna omc cigna medicare fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
20	Highmark omc horizon braven fee schedule · both	$825	$825	—	—	—	$825 – $825
21	Highmark omc horizon braven fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
22	Tricare omc tricare contract fee schedule · both	$825	$825	—	—	—	$825 – $825
23	Tricare omc tricare contract fee schedule · outpatient	$825	$825	—	—	—	$825 – $825
24	Amerihealth Caritas omc amerihealth caritas fee schedule · both	$833	$833	—	—	—	$833 – $833
25	Amerihealth Caritas omc amerihealth caritas fee schedule · outpatient	$833	$833	—	—	—	$833 – $833

Page 1 of 2 · 50 rates

Last updated: Apr 1, 2026

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