Upper limb orthosis, not otherwise specified at Dignity Community Care

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ORTHO L3999 23X-30

Glendale, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $60 is about the same as the median hospital's median price ($60), higher than 50% of the 539 hospitals reporting HCPCS L3999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3999 at Dignity Community Care

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	$30	$30	$4	13%	—	$26 – $35
2	Molina medicaid\|all plans fee schedule · outpatient	$30	$30	$4	13%	—	$26 – $35
3	Anthem medicaid\|all plans fee schedule · inpatient	$33	$33	$4	13%	—	$29 – $38
4	Anthem medicaid\|all plans fee schedule · outpatient	$33	$33	$4	13%	—	$29 – $38
5	Cigna commercial\|all other plans fee schedule · inpatient	$40	$40	$5	13%	—	$35 – $45
6	Cigna commercial\|ppo fee schedule · inpatient	$40	$40	$5	13%	—	$35 – $45
7	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$68	$68	$9	13%	—	$59 – $77
8	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$69	$69	$9	13%	—	$60 – $78
9	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$69	$69	$9	13%	—	$60 – $78
10	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$73	$73	$10	13%	—	$63 – $83
11	Kaiser commercial\|all plans fee schedule · inpatient	$74	$74	$10	13%	—	$64 – $84
12	Kaiser commercial\|all plans fee schedule · outpatient	$74	$74	$10	13%	—	$64 – $84
13	Blue Cross Blue Shield commercial\|magellan fee schedule · inpatient	$80	$80	$11	13%	—	$69 – $90
14	Blue Cross Blue Shield commercial\|magellan fee schedule · outpatient	$80	$80	$11	13%	—	$69 – $90
15	First Health commercial\|all plans fee schedule · inpatient	$86	$86	$11	13%	—	$75 – $98
16	First Health commercial\|all plans fee schedule · outpatient	$86	$86	$11	13%	—	$75 – $98
17	Cigna commercial\|all other plans fee schedule · outpatient	$90	$90	$12	13%	—	$78 – $102
18	Cigna commercial\|ppo fee schedule · outpatient	$90	$90	$12	13%	—	$78 – $102
19	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$99	$99	$13	13%	—	$86 – $113
20	MultiPlan commercial\|all plans fee schedule · inpatient	$106	$106	$14	13%	—	$92 – $120
21	MultiPlan commercial\|all plans fee schedule · outpatient	$106	$106	$14	13%	—	$92 – $120
22	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$114	$114	$15	13%	—	$99 – $129
23	Anthem commercial\|mcs fee schedule · inpatient	$126	$126	$17	13%	—	$109 – $143
24	Anthem commercial\|non-mcs fee schedule · inpatient	$126	$126	$17	13%	—	$109 – $143
25	Aetna commercial\|all other plans fee schedule · inpatient	$131	$131	$17	13%	—	$114 – $149

Page 1 of 2 · 27 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Upper limb orthosis, not otherwise specified pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.