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

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

Prices for HCPCS L3925 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$68.38 – $75.226 plans$13.20 – $549$33.00 – $1,373
Deaconess Medical CenterSpokaneFile dated 2026-08-27$68.38 – $75.228 plans$13.20 – $549$33.00 – $1,373
EvergreenHealth Medical CenterKirkland$69.78 – $72.225 plans$120$150
Harborview Medical CenterSeattleFile dated 2026-04-01$69.78 – $76.765 plans$59.63 – $61.05$85.18 – $87.22
Highline Medical CenterBurienFile dated 2026-02-28—$19.49 – $54.09$63.82 – $177
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$69.78 – $83.747 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$68.38 – $75.227 plans$13.20 – $549$33.00 – $1,373
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$68.38 – $75.227 plans$13.20 – $549$33.00 – $1,373
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$68.38 – $75.227 plans$13.20 – $549$33.00 – $1,373
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$68.38 – $75.227 plans$13.20 – $549$33.00 – $1,373
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$70.44 – $75.227 plans$13.20 – $549$33.00 – $1,373
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$69.78 – $72.573 plans——
PeaceHealth St John Medical CenterLongview$54.43 – $76.7614 plans$81.90$126
PeaceHealth St Joseph Medical CenterBellingham$69.78 – $76.768 plans$85.80$132
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$69.78 – $83.747 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$69.78 – $1127 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$69.78 – $76.766 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$69.78 – $1127 plans——
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$11.49 – $38.9712 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
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$69.78 – $83.748 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$69.78 – $83.748 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$69.78 – $83.748 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$69.78 – $83.748 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$68.38 – $75.227 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$69.78 – $76.765 plans$108$155
Virginia Mason Medical CenterSeattle$47.89 – $71.839 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$85.00$85.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$68.38 – $76.598 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)