HCPCS L3984
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $96.36 – $2,701 | $52.80 – $206 | $132 – $515 |
| Deaconess Medical Center | $49.04 – $1,681 | $52.80 – $206 | $132 – $515 |
| Harborview Medical Center | $646 – $808 | $495 | $707 |
| Kadlec Regional Medical Center | $609 – $1,135 | — | — |
| Mary Bridge Children's Hospital | $85.26 – $2,965 | $52.80 – $206 | $132 – $515 |
| MultiCare Auburn Medical Center | $96.36 – $1,745 | $52.80 – $206 | $132 – $515 |
| MultiCare Covington Medical Center | $96.36 – $1,745 | $52.80 – $206 | $132 – $515 |
| MultiCare Good Samaritan Hospital | $96.36 – $1,745 | $52.80 – $206 | $132 – $515 |
| MultiCare Valley Hospital | $49.04 – $1,677 | $52.80 – $206 | $132 – $515 |
| Overlake Hospital Medical Center & Clinics | $370 – $1,111 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $626 – $1,340 | — | — |
| Providence Centralia Hospital | $683 – $1,510 | — | — |
| Providence Regional Medical Center Everett | $485 – $937 | — | — |
| Providence St Peter Hospital | $343 – $1,319 | — | — |
| Swedish Edmonds Hospital | $606 – $1,482 | — | — |
| Swedish Issaquah | $606 – $897 | $109 | $228 |
| Swedish Medical Center | $606 – $1,443 | $109 | $228 |
| Swedish Medical Center / Cherry Hill | $606 – $1,443 | $109 | $228 |
| Tacoma General Allenmore Hospital | $96.36 – $1,745 | $52.80 – $206 | $132 – $515 |
| University of Washington Medical Ctr | $646 – $1,267 | $603 | $861 |
| Virginia Mason Medical Center | $387 – $1,405 | — | — |
| Wellfound Behavioral Health Hospital | $1,019 | — | — |
| Yakima Valley Memorial | $39.69 – $1,048 | $32.40 – $206 | $81.00 – $515 |
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
- $404 (fee)