Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ORTHOPED LADIES SHOES DPTH I
Low
$20
Average
$70
Median
$47
High
$197
Each hospital's average Molina rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 6.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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49 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 3 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 8 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 9 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $137 | $137 | $36 | 26% | — | $101 – $173 |
| 10 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 12 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $137 | $137 | $36 | 26% | — | $101 – $173 |
| 13 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 14 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · inpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 15 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 16 | DIGNITY HEALTH Carmichael, CA fee schedule · inpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 17 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 18 | DIGNITY HEALTH Folsom, CA fee schedule · inpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 19 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 20 | DIGNITY HEALTH Sacramento, CA fee schedule · inpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 21 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 22 | DIGNITY HEALTH San Bernardino, CA fee schedule · inpatient | 2 | $137 | $137 | $36 | 26% | — | $101 – $173 |
| 23 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $150 | $150 | — | — | — | $150 – $150 |
| 24 | DIGNITY HEALTH Long Beach, CA fee schedule · inpatient | 1 | $137 | $137 | $36 | 26% | — | $101 – $173 |
| 25 | DIGNITY HEALTH Long Beach, CA fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
← Payers reporting HCPCS L3216 · Snapshot 20261111T120946Z-9134e7f7