HCPCS L3980
Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment
Current code28 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $177 – $698 | $443 – $1,746 |
| Deaconess Medical Center | — | $177 – $698 | $443 – $1,746 |
| Harborview Medical Center | — | $422 – $426 | $603 – $608 |
| Kadlec Regional Medical Center | — | $702 | $1,003 |
| Mary Bridge Children's Hospital | — | $177 – $698 | $443 – $1,746 |
| MultiCare Auburn Medical Center | — | $177 – $698 | $443 – $1,746 |
| MultiCare Covington Medical Center | — | $177 – $698 | $443 – $1,746 |
| MultiCare Good Samaritan Hospital | — | $177 – $698 | $443 – $1,746 |
| MultiCare Valley Hospital | — | $177 – $698 | $443 – $1,746 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $865 | $1,235 |
| Providence Centralia Hospital | — | $1,063 | $2,045 |
| Providence Holy Family Hospital | — | $865 | $1,235 |
| Providence Mount Carmel Hospital | — | $821 | $1,172 |
| Providence Regional Medical Center Everett | — | $1,170 | $2,249 |
| Providence St Joseph Hospital | — | $597 – $821 | $853 – $1,172 |
| Providence St Mary Medical Center | — | $763 | $1,091 |
| Providence St Peter Hospital | — | $1,063 | $2,045 |
| Seattle Children's Hospital | $308 – $390 | $1,200 | $1,200 |
| Swedish Edmonds Hospital | — | $13.92 – $716 | $29.01 – $1,491 |
| Swedish Issaquah | — | $13.92 – $716 | $29.01 – $1,491 |
| Swedish Medical Center | — | $13.92 – $716 | $29.01 – $1,491 |
| Swedish Medical Center / Cherry Hill | — | $13.92 – $716 | $29.01 – $1,491 |
| Tacoma General Allenmore Hospital | — | $177 – $698 | $443 – $1,746 |
| University of Washington Medical Ctr | — | $615 – $622 | $879 – $889 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $177 – $472 | $443 – $1,180 |
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)