Custom hip-knee-ankle-foot brace with pelvic belt at Dignity Community Care

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ORTHO L2040 115X-150

Glendale, CA

See all hospitals reporting HCPCS L2040 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $274 is 10% above the median hospital's median price ($248), higher than 74% of the 848 hospitals reporting HCPCS L2040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2040 at Dignity Community Care

Negotiated rates from the hospital’s own file: 9 payers, 29 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Anthem medicaid\|all plans fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
2	Molina medicaid\|all plans fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
5	Molina medicaid\|all plans fee schedule · inpatient	$173	$173	—	—	—	$173 – $173
6	Anthem medicaid\|all plans fee schedule · inpatient	$188	$188	—	—	—	$188 – $188
7	Cigna commercial\|all other plans fee schedule · inpatient	$225	$225	—	—	—	$225 – $225
8	Cigna commercial\|ppo fee schedule · inpatient	$225	$225	—	—	—	$225 – $225
9	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$383	$383	—	—	—	$383 – $383
10	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$390	$390	—	—	—	$390 – $390
11	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$390	$390	—	—	—	$390 – $390
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
13	Kaiser commercial\|all plans fee schedule · inpatient	$420	$420	—	—	—	$420 – $420
14	Kaiser commercial\|all plans fee schedule · outpatient	$420	$420	—	—	—	$420 – $420
15	Blue Cross Blue Shield commercial\|magellan fee schedule · inpatient	$450	$450	—	—	—	$450 – $450
16	Blue Cross Blue Shield commercial\|magellan fee schedule · outpatient	$450	$450	—	—	—	$450 – $450
17	First Health commercial\|all plans fee schedule · inpatient	$488	$488	—	—	—	$488 – $488
18	First Health commercial\|all plans fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
19	Cigna commercial\|all other plans fee schedule · outpatient	$510	$510	—	—	—	$510 – $510
20	Cigna commercial\|ppo fee schedule · outpatient	$510	$510	—	—	—	$510 – $510
21	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$563	$563	—	—	—	$563 – $563
22	MultiPlan commercial\|all plans fee schedule · inpatient	$600	$600	—	—	—	$600 – $600
23	MultiPlan commercial\|all plans fee schedule · outpatient	$600	$600	—	—	—	$600 – $600
24	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$645	$645	—	—	—	$645 – $645
25	Anthem commercial\|mcs fee schedule · inpatient	$713	$713	—	—	—	$713 – $713

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Custom hip-knee-ankle-foot brace with pelvic belt pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.