HCPCS L3761

Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L3761 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$782 – $8312 plans$391$978
Deaconess Medical CenterSpokaneFile dated 2026-08-27$694 – $7142 plans$391$978
Harborview Medical CenterSeattleFile dated 2026-04-01—$478$682
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$640 – $7826 plans$391$978
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$577 – $7143 plans$391$978
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$577 – $7143 plans$391$978
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$577 – $7143 plans$391$978
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$7042 plans$391$978
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$577 – $7143 plans$391$978
University of Washington Medical CtrSeattleFile dated 2026-04-01—$478$682
Yakima Valley MemorialYakimaFile dated 2026-08-27$3671 plan$262$655

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$546 (fee)