HCPCS L3984
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment
Current code23 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $396 – $435 | $52.80 – $206 | $132 – $515 |
| Deaconess Medical Center | $396 – $435 | $52.80 – $206 | $132 – $515 |
| Harborview Medical Center | $404 – $444 | $495 | $707 |
| Kadlec Regional Medical Center | $404 – $485 | — | — |
| Mary Bridge Children's Hospital | $396 – $435 | $52.80 – $206 | $132 – $515 |
| MultiCare Auburn Medical Center | $396 – $435 | $52.80 – $206 | $132 – $515 |
| MultiCare Covington Medical Center | $396 – $435 | $52.80 – $206 | $132 – $515 |
| MultiCare Good Samaritan Hospital | $396 – $435 | $52.80 – $206 | $132 – $515 |
| MultiCare Valley Hospital | $408 – $435 | $52.80 – $206 | $132 – $515 |
| Overlake Hospital Medical Center & Clinics | $404 – $420 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $404 – $485 | — | — |
| Providence Centralia Hospital | $404 – $646 | — | — |
| Providence Regional Medical Center Everett | $404 – $444 | — | — |
| Providence St Peter Hospital | $404 – $646 | — | — |
| Swedish Edmonds Hospital | $404 – $485 | — | — |
| Swedish Issaquah | $404 – $485 | $109 | $228 |
| Swedish Medical Center | $404 – $485 | $109 | $228 |
| Swedish Medical Center / Cherry Hill | $404 – $485 | $109 | $228 |
| Tacoma General Allenmore Hospital | $396 – $435 | $52.80 – $206 | $132 – $515 |
| University of Washington Medical Ctr | $404 – $444 | $603 | $861 |
| Virginia Mason Medical Center | $277 – $416 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $396 – $443 | $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)