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
ORTHO L3000 195X-254
Glendale, CA
See all hospitals reporting HCPCS L3000 →Price type
Dignity Community Care’s median price of $505 is 29% above the median hospital's median price ($393), higher than 82% of the 952 hospitals reporting HCPCS L3000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $284 | $284 | — | — | — | $284 – $284 |
| 2 | Molina medicaid|all plans fee schedule · inpatient | $292 | $292 | — | — | — | $292 – $292 |
| 3 | Anthem medicaid|all plans fee schedule · inpatient | $318 | $318 | — | — | — | $318 – $318 |
| 4 | Cigna commercial|all other plans fee schedule · inpatient | $381 | $381 | — | — | — | $381 – $381 |
| 5 | Cigna commercial|ppo fee schedule · inpatient | $381 | $381 | — | — | — | $381 – $381 |
| 6 | Molina medicaid|all plans fee schedule · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 7 | Kaiser medicaid|< 21 fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 8 | Kaiser medicaid|> 21 fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $711 | $711 | — | — | — | $711 – $711 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $711 | $711 | — | — | — | $711 – $711 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $762 | $762 | — | — | — | $762 – $762 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $762 | $762 | — | — | — | $762 – $762 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $826 | $826 | — | — | — | $826 – $826 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $826 | $826 | — | — | — | $826 – $826 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $864 | $864 | — | — | — | $864 – $864 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $864 | $864 | — | — | — | $864 – $864 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $953 | $953 | — | — | — | $953 – $953 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Feb 28, 2026
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