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 L4350 10-13
Glendale, CA
See all hospitals reporting HCPCS L4350 →Price type
Dignity Community Care’s median price of $92 is 20% below the median hospital's median price ($116), higher than 31% of the 1,567 hospitals reporting HCPCS L4350. 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 | $26 | $67 | $61 | 92% | — | $15 – $173 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $29 | $73 | $67 | 92% | — | $16 – $188 |
| 3 | Cigna commercial|all other plans fee schedule · inpatient | $35 | $87 | $80 | 92% | — | $20 – $225 |
| 4 | Cigna commercial|ppo fee schedule · inpatient | $35 | $87 | $80 | 92% | — | $20 – $225 |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $115 | $109 | $30 | 27% | — | $65 – $139 |
| 6 | Molina medicaid|all plans fee schedule · outpatient | $115 | $111 | $32 | 29% | — | $65 – $144 |
| 7 | Kaiser medicaid|< 21 fee schedule · outpatient | $154 | $138 | $23 | 16% | — | $98 – $154 |
| 8 | Kaiser medicaid|> 21 fee schedule · outpatient | $154 | $138 | $23 | 16% | — | $98 – $154 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $59 | $148 | $136 | 92% | — | $33 – $383 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $60 | $151 | $139 | 92% | — | $34 – $390 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $60 | $151 | $139 | 92% | — | $34 – $390 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $63 | $160 | $147 | 92% | — | $36 – $413 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $64 | $163 | $150 | 92% | — | $36 – $420 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $64 | $163 | $150 | 92% | — | $36 – $420 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $69 | $175 | $160 | 92% | — | $39 – $450 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $69 | $175 | $160 | 92% | — | $39 – $450 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $75 | $189 | $174 | 92% | — | $42 – $488 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $75 | $189 | $174 | 92% | — | $42 – $488 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $78 | $198 | $182 | 92% | — | $44 – $510 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $78 | $198 | $182 | 92% | — | $44 – $510 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $86 | $218 | $201 | 92% | — | $49 – $563 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $92 | $233 | $214 | 92% | — | $52 – $600 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $92 | $233 | $214 | 92% | — | $52 – $600 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $99 | $250 | $230 | 92% | — | $56 – $645 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $109 | $276 | $254 | 92% | — | $62 – $713 |
Last updated: Feb 28, 2026
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