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 L3040 30X-39
Glendale, CA
See all hospitals reporting HCPCS L3040 →Price type
Dignity Community Care’s median price of $129 is 118% above the median hospital's median price ($59), higher than 94% of the 959 hospitals reporting HCPCS L3040. 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 | Anthem medicaid|all plans fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Molina medicaid|all plans fee schedule · inpatient | $73 | $73 | $28 | 39% | — | $45 – $101 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $73 | $73 | $28 | 39% | — | $45 – $101 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $79 | $79 | $31 | 39% | — | $49 – $110 |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $95 | $95 | $37 | 39% | — | $59 – $132 |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $95 | $95 | $37 | 39% | — | $59 – $132 |
| 7 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $162 | $162 | $62 | 39% | — | $99 – $224 |
| 8 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $165 | $165 | $64 | 39% | — | $101 – $229 |
| 9 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $165 | $165 | $64 | 39% | — | $101 – $229 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $175 | $175 | $67 | 39% | — | $107 – $242 |
| 11 | Kaiser commercial|all plans fee schedule · inpatient | $178 | $178 | $69 | 39% | — | $109 – $246 |
| 12 | Kaiser commercial|all plans fee schedule · outpatient | $178 | $178 | $69 | 39% | — | $109 – $246 |
| 13 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $191 | $191 | $74 | 39% | — | $117 – $264 |
| 14 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $191 | $191 | $74 | 39% | — | $117 – $264 |
| 15 | First Health commercial|all plans fee schedule · inpatient | $206 | $206 | $80 | 39% | — | $127 – $286 |
| 16 | First Health commercial|all plans fee schedule · outpatient | $206 | $206 | $80 | 39% | — | $127 – $286 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $216 | $216 | $83 | 39% | — | $133 – $299 |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $216 | $216 | $83 | 39% | — | $133 – $299 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $238 | $238 | $92 | 39% | — | $146 – $330 |
| 20 | MultiPlan commercial|all plans fee schedule · inpatient | $254 | $254 | $98 | 39% | — | $156 – $352 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $254 | $254 | $98 | 39% | — | $156 – $352 |
| 22 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $273 | $273 | $105 | 39% | — | $168 – $378 |
| 23 | Anthem commercial|mcs fee schedule · inpatient | $302 | $302 | $116 | 39% | — | $185 – $418 |
| 24 | Anthem commercial|non-mcs fee schedule · inpatient | $302 | $302 | $116 | 39% | — | $185 – $418 |
| 25 | Aetna commercial|all other plans fee schedule · inpatient | $314 | $314 | $121 | 39% | — | $193 – $436 |
Last updated: Feb 28, 2026
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