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
O/T DORSAL BLOCKING SPLINT WITH DYNAMICS
Toccoa, GA
See all hospitals reporting HCPCS L3901 →Price type
Stephens County Hospital’s median price of $1.3k is 38% below the median hospital's median price ($2.1k), higher than 7% of the 892 hospitals reporting HCPCS L3901. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 6 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 | Medicaid medicaid percent of total billed charges · outpatientfrom % of charges | $759 | $759 | — | — | — | $759 – $759 |
| 2 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $782 | $782 | — | — | — | $782 – $782 |
| 3 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: May 19, 2026
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