HCPCS L3763
Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Current code38 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $791 – $870 | $18.40 – $412 | $46.00 – $1,029 |
| Deaconess Medical Center | $791 – $870 | $18.40 | $46.00 |
| EvergreenHealth Medical Center | $807 – $835 | $447 | $559 |
| EvergreenHealth Monroe | $807 – $835 | $731 | $914 |
| Harborview Medical Center | $807 – $888 | $977 – $989 | $1,396 – $1,412 |
| Highline Medical Center | — | $265 | $867 |
| Kadlec Regional Medical Center | $807 – $969 | — | — |
| Mary Bridge Children's Hospital | $791 – $870 | $18.40 | $46.00 |
| MultiCare Auburn Medical Center | $791 – $870 | $18.40 | $46.00 |
| MultiCare Covington Medical Center | $791 – $870 | $18.40 | $46.00 |
| MultiCare Good Samaritan Hospital | $791 – $870 | $18.40 | $46.00 |
| MultiCare Valley Hospital | $815 – $870 | $18.40 | $46.00 |
| Olympic Medical Center | — | $756 | $945 |
| Overlake Hospital Medical Center & Clinics | $807 – $839 | — | — |
| PeaceHealth St John Medical Center | $630 – $888 | $965 | $1,484 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $807 – $969 | $760 | $1,085 |
| Providence Centralia Hospital | $807 – $1,291 | — | — |
| Providence Holy Family Hospital | — | $775 | $1,107 |
| Providence Regional Medical Center Everett | $807 – $888 | — | — |
| Providence St Joseph Hospital | — | $703 | $1,004 |
| Providence St Mary Medical Center | — | $529 | $755 |
| Providence St Peter Hospital | $807 – $1,291 | — | — |
| Skagit Valley Hospital | — | $933 | $1,166 |
| St Anthony Hospital | — | $264 | $867 |
| St Clare Hospital | — | $250 | $867 |
| St Elizabeth Hospital | $156 – $191 | $307 | $867 |
| St Francis Community Hospital | — | $272 | $867 |
| St Joseph Medical Center | — | $287 | $867 |
| St Michael Medical Center | — | $383 | $867 |
| Swedish Edmonds Hospital | $807 – $969 | — | — |
| Swedish Issaquah | $807 – $969 | — | — |
| Swedish Medical Center | $807 – $969 | — | — |
| Swedish Medical Center / Cherry Hill | $807 – $969 | — | — |
| Tacoma General Allenmore Hospital | $791 – $870 | $18.40 | $46.00 |
| University of Washington Medical Ctr | $807 – $888 | $1,119 – $1,148 | $1,599 – $1,639 |
| Virginia Mason Medical Center | $554 – $831 | $266 | $522 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $791 – $886 | $11.20 | $28.00 |
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
- $807 (fee)