HCPCS L3765

Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Current code34 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L3765 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$697 – $714$1,742 – $1,784
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$714$1,784
EvergreenHealth Medical CenterKirkland$1,400 – $1,4495 plans$1,874$2,342
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,715$2,450
Highline Medical CenterBurienFile dated 2026-02-28—$459$1,505
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$714$1,784
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$714$1,784
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$714$1,784
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$714$1,784
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$714$1,784
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$760$1,085
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$775$1,107
St Anthony HospitalGig HarborFile dated 2026-02-28—$458$1,505
St Clare HospitalLakewoodFile dated 2026-02-28—$434$1,505
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$532$1,505
St Francis Community HospitalFederal WayFile dated 2026-02-28—$472$1,505
St Joseph Medical CenterTacomaFile dated 2026-02-28—$498$1,505
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$664$1,505
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$714$1,784
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,499$2,142

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
$1,400 (fee)