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
WRIST/BRACE W/NONTORS JTS LT
Williamsport, PA
See all hospitals reporting HCPCS L3931 →Price type
UPMC Williamsport’s median price of $174 is 25% below the median hospital's median price ($233), higher than 19% of the 1,123 hospitals reporting HCPCS L3931. 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, 25 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 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 5 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 9 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 11 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 12 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 13 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 14 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 15 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 16 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 21 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 22 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 23 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 24 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 25 | MultiPlan worker's compensation facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
Last updated: Mar 6, 2026
See Prefabricated wrist, hand and finger orthosis with joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.