HCPCS L3925

Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf

Current code37 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 L3925 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$24.09 – $1,16719 plans$13.20 – $549$33.00 – $1,373
Deaconess Medical CenterSpokaneFile dated 2026-08-27$12.26 – $1,00216 plans$13.20 – $549$33.00 – $1,373
EvergreenHealth Medical CenterKirkland$48.00 – $25528 plans$120$150
Harborview Medical CenterSeattleFile dated 2026-04-01$112 – $1402 plans$59.63 – $61.05$85.18 – $87.22
Highline Medical CenterBurienFile dated 2026-02-28$27.45 – $26911 plans$19.49 – $54.09$63.82 – $177
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$105 – $1965 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$21.31 – $1,11818 plans$13.20 – $549$33.00 – $1,373
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$24.09 – $1,00220 plans$13.20 – $549$33.00 – $1,373
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$24.09 – $1,00220 plans$13.20 – $549$33.00 – $1,373
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$24.09 – $1,00220 plans$13.20 – $549$33.00 – $1,373
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$12.26 – $98916 plans$13.20 – $549$33.00 – $1,373
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$64.00 – $19210 plans——
PeaceHealth St John Medical CenterLongview$27.91 – $88.814 plans$81.90$126
PeaceHealth St Joseph Medical CenterBellingham$70.86 – $88.812 plans$85.80$132
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$108 – $2319 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$118 – $2615 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$83.74 – $1627 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$60.90$87.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$45.50$65.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01$59.31 – $2288 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$31.91 – $33811 plans$19.42 – $53.87$63.82 – $177
St Clare HospitalLakewoodFile dated 2026-02-28$31.91 – $33811 plans$18.40 – $51.06$63.82 – $177
St Elizabeth HospitalEnumclawFile dated 2026-02-28$21.26 – $33816 plans$22.56 – $62.59$63.82 – $177
St Francis Community HospitalFederal WayFile dated 2026-02-28$31.91 – $33811 plans$20.03 – $55.59$63.82 – $177
St Joseph Medical CenterTacomaFile dated 2026-02-28$31.91 – $33811 plans$21.14 – $58.66$63.82 – $177
St Michael Medical CenterSilverdaleFile dated 2026-02-28$40.85 – $30715 plans$28.17 – $78.17$63.82 – $177
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$105 – $2567 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$105 – $1557 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$105 – $2499 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$105 – $2499 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$24.09 – $1,00220 plans$13.20 – $549$33.00 – $1,373
Three Rivers HospitalBrewster—$3.63 – $103$3.63 – $103
University of Washington Medical CtrSeattleFile dated 2026-04-01$112 – $2195 plans$108$155
Virginia Mason Medical CenterSeattle$66.81 – $2437 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1761 plan——
WhidbeyHealth Medical CenterCoupeville—$85.00$85.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$9.80 – $80019 plans$8.00 – $374$20.00 – $934

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$69.78 (fee)