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Every billing code / Equipment and supplies / Orthotic Devices

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
EvergreenHealth Medical CenterKirkland—$120$150
Harborview Medical CenterSeattleFile dated 2026-04-01—$59.63 – $61.05$85.18 – $87.22
Highline Medical CenterBurienFile dated 2026-02-28—$19.49 – $54.09$63.82 – $177
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
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
St Anthony HospitalGig HarborFile dated 2026-02-28—$19.42 – $53.87$63.82 – $177
St Clare HospitalLakewoodFile dated 2026-02-28—$18.40 – $51.06$63.82 – $177
St Elizabeth HospitalEnumclawFile dated 2026-02-28$17.87 – $58.755 plans$22.56 – $62.59$63.82 – $177
St Francis Community HospitalFederal WayFile dated 2026-02-28—$20.03 – $55.59$63.82 – $177
St Joseph Medical CenterTacomaFile dated 2026-02-28—$21.14 – $58.66$63.82 – $177
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$28.17 – $78.17$63.82 – $177
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$13.20 – $549$33.00 – $1,373
Three Rivers HospitalBrewster$2.54 – $72.271 plan$3.63 – $103$3.63 – $103
University of Washington Medical CtrSeattleFile dated 2026-04-01—$108$155
Yakima Valley MemorialYakimaFile dated 2026-08-27—$8.00 – $374$20.00 – $934

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
$69.78 (fee)