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 L3002 88X-115
Glendale, CA
See all hospitals reporting HCPCS L3002 →Price type
Dignity Community Care’s median price of $265 is 30% above the median hospital's median price ($204), higher than 80% of the 945 hospitals reporting HCPCS L3002. 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, 27 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 | Molina medicaid|all plans fee schedule · inpatient | $132 | $132 | — | — | — | $132 – $132 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $144 | $144 | — | — | — | $144 – $144 |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $173 | $173 | — | — | — | $173 – $173 |
| 7 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $293 | $293 | — | — | — | $293 – $293 |
| 8 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 9 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $322 | $322 | — | — | — | $322 – $322 |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 13 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $345 | $345 | — | — | — | $345 – $345 |
| 14 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $345 | $345 | — | — | — | $345 – $345 |
| 15 | First Health commercial|all plans fee schedule · inpatient | $374 | $374 | — | — | — | $374 – $374 |
| 16 | First Health commercial|all plans fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $391 | $391 | — | — | — | $391 – $391 |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $391 | $391 | — | — | — | $391 – $391 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $431 | $431 | — | — | — | $431 – $431 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $460 | $460 | — | — | — | $460 – $460 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $460 | $460 | — | — | — | $460 – $460 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $495 | $495 | — | — | — | $495 – $495 |
| 23 | Anthem commercial|mcs fee schedule · inpatient | $546 | $546 | — | — | — | $546 – $546 |
| 24 | Anthem commercial|non-mcs fee schedule · inpatient | $546 | $546 | — | — | — | $546 – $546 |
| 25 | Aetna commercial|all other plans fee schedule · inpatient | $569 | $569 | — | — | — | $569 – $569 |
Last updated: Feb 28, 2026
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