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 L3900 115X-150
Glendale, CA
See all hospitals reporting HCPCS L3900 →Price type
Dignity Community Care’s median price of $541 is 69% below the median hospital's median price ($1.7k), higher than 2% of the 993 hospitals reporting HCPCS L3900. 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 | Molina medicaid|all plans fee schedule · inpatient | $198 | $198 | $26 | 13% | — | $173 – $224 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $216 | $216 | $28 | 13% | — | $188 – $244 |
| 3 | Cigna commercial|all other plans fee schedule · inpatient | $259 | $259 | $34 | 13% | — | $225 – $293 |
| 4 | Cigna commercial|ppo fee schedule · inpatient | $259 | $259 | $34 | 13% | — | $225 – $293 |
| 5 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $440 | $440 | $57 | 13% | — | $383 – $497 |
| 6 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $449 | $449 | $59 | 13% | — | $390 – $507 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $449 | $449 | $59 | 13% | — | $390 – $507 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $474 | $474 | $62 | 13% | — | $413 – $536 |
| 9 | Kaiser commercial|all plans fee schedule · inpatient | $483 | $483 | $63 | 13% | — | $420 – $546 |
| 10 | Kaiser commercial|all plans fee schedule · outpatient | $483 | $483 | $63 | 13% | — | $420 – $546 |
| 11 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $518 | $518 | $68 | 13% | — | $450 – $585 |
| 12 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $518 | $518 | $68 | 13% | — | $450 – $585 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $561 | $561 | $73 | 13% | — | $488 – $634 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $561 | $561 | $73 | 13% | — | $488 – $634 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $587 | $587 | $77 | 13% | — | $510 – $663 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $587 | $587 | $77 | 13% | — | $510 – $663 |
| 17 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $647 | $647 | $84 | 13% | — | $563 – $731 |
| 18 | MultiPlan commercial|all plans fee schedule · inpatient | $690 | $690 | $90 | 13% | — | $600 – $780 |
| 19 | MultiPlan commercial|all plans fee schedule · outpatient | $690 | $690 | $90 | 13% | — | $600 – $780 |
| 20 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $742 | $742 | $97 | 13% | — | $645 – $839 |
| 21 | Anthem commercial|mcs fee schedule · inpatient | $819 | $819 | $107 | 13% | — | $713 – $926 |
| 22 | Anthem commercial|non-mcs fee schedule · inpatient | $819 | $819 | $107 | 13% | — | $713 – $926 |
| 23 | Aetna commercial|all other plans fee schedule · inpatient | $854 | $854 | $111 | 13% | — | $743 – $965 |
| 24 | Aetna commercial|hmo fee schedule · inpatient | $854 | $854 | $111 | 13% | — | $743 – $965 |
| 25 | Aetna commercial|ppo fee schedule · inpatient | $854 | $854 | $111 | 13% | — | $743 – $965 |
Last updated: Feb 28, 2026
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