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HCPCS L3980

Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment

Current code28 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$300 – $2,32419 plans$177 – $698$443 – $1,746
Deaconess Medical CenterSpokaneFile dated 2026-08-27$165 – $1,44716 plans$177 – $698$443 – $1,746
Harborview Medical CenterSeattleFile dated 2026-04-01$556 – $6952 plans$422 – $426$603 – $608
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$524 – $9765 plans$702$1,003
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$286 – $2,55118 plans$177 – $698$443 – $1,746
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$291 – $1,50220 plans$177 – $698$443 – $1,746
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$291 – $1,50220 plans$177 – $698$443 – $1,746
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$291 – $1,50220 plans$177 – $698$443 – $1,746
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$165 – $1,44416 plans$177 – $698$443 – $1,746
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$319 – $95610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$538 – $1,1539 plans$865$1,235
Providence Centralia HospitalCentraliaFile dated 2026-04-01$587 – $1,3005 plans$1,063$2,045
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$865$1,235
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$821$1,172
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$417 – $8077 plans$1,170$2,249
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$597 – $821$853 – $1,172
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$763$1,091
Providence St Peter HospitalOlympiaFile dated 2026-04-01$295 – $1,1358 plans$1,063$2,045
Seattle Children's HospitalSeattle$648 – $1,15298 plans$1,200$1,200
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$521 – $1,2757 plans$13.92 – $716$29.01 – $1,491
Swedish IssaquahIssaquahFile dated 2026-04-01$521 – $7727 plans$13.92 – $716$29.01 – $1,491
Swedish Medical CenterSeattleFile dated 2026-04-01$521 – $1,2429 plans$13.92 – $716$29.01 – $1,491
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$521 – $1,2429 plans$13.92 – $716$29.01 – $1,491
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$291 – $1,50220 plans$177 – $698$443 – $1,746
University of Washington Medical CtrSeattleFile dated 2026-04-01$556 – $1,0905 plans$615 – $622$879 – $889
Virginia Mason Medical CenterSeattle$333 – $1,2097 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$8771 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$217 – $1,01119 plans$177 – $472$443 – $1,180

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
$348 (fee)