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 L3931 115X-150
Glendale, CA
See all hospitals reporting HCPCS L3931 →Price type
Dignity Community Care’s median price of $229 is 2% below the median hospital's median price ($233), higher than 44% of the 1,117 hospitals reporting HCPCS L3931. 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 | $137 | $137 | $36 | 26% | — | $101 – $173 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $149 | $149 | $39 | 26% | — | $110 – $188 |
| 3 | Cigna commercial|all other plans fee schedule · inpatient | $179 | $179 | $47 | 26% | — | $132 – $225 |
| 4 | Cigna commercial|ppo fee schedule · inpatient | $179 | $179 | $47 | 26% | — | $132 – $225 |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 6 | Molina medicaid|all plans fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 7 | Kaiser medicaid|< 21 fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 8 | Kaiser medicaid|> 21 fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $303 | $303 | $79 | 26% | — | $224 – $383 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $309 | $309 | $81 | 26% | — | $229 – $390 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $309 | $309 | $81 | 26% | — | $229 – $390 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $327 | $327 | $85 | 26% | — | $242 – $413 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $333 | $333 | $87 | 26% | — | $246 – $420 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $333 | $333 | $87 | 26% | — | $246 – $420 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $357 | $357 | $93 | 26% | — | $264 – $450 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $357 | $357 | $93 | 26% | — | $264 – $450 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $387 | $387 | $101 | 26% | — | $286 – $488 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $387 | $387 | $101 | 26% | — | $286 – $488 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $405 | $405 | $105 | 26% | — | $299 – $510 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $405 | $405 | $105 | 26% | — | $299 – $510 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $446 | $446 | $116 | 26% | — | $330 – $563 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $476 | $476 | $124 | 26% | — | $352 – $600 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $476 | $476 | $124 | 26% | — | $352 – $600 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $512 | $512 | $133 | 26% | — | $378 – $645 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $565 | $565 | $147 | 26% | — | $418 – $713 |
Last updated: Feb 28, 2026
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