Static or dynamic ankle-foot orthosis, prefabricated 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 L4396 67X-88

Glendale, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $179 is 14% below the median hospital's median price ($208), higher than 26% of the 1,314 hospitals reporting HCPCS L4396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L4396 at Dignity Community Care

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	$89	$99	$47	47%	—	$45 – $173
2	Anthem medicaid\|all plans fee schedule · inpatient	$97	$108	$51	47%	—	$49 – $188
3	Cigna commercial\|all other plans fee schedule · inpatient	$116	$129	$61	47%	—	$59 – $225
4	Cigna commercial\|ppo fee schedule · inpatient	$116	$129	$61	47%	—	$59 – $225
5	Anthem medicaid\|all plans fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
6	Molina medicaid\|all plans fee schedule · outpatient	$199	$198	$2	1%	—	$195 – $199
7	Kaiser medicaid\|< 21 fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
8	Kaiser medicaid\|> 21 fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
9	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$198	$219	$104	47%	—	$99 – $383
10	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$202	$224	$106	47%	—	$101 – $390
11	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$202	$224	$106	47%	—	$101 – $390
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$213	$237	$112	47%	—	$107 – $413
13	Kaiser commercial\|all plans fee schedule · inpatient	$217	$241	$114	47%	—	$109 – $420
14	Kaiser commercial\|all plans fee schedule · outpatient	$217	$241	$114	47%	—	$109 – $420
15	Blue Cross Blue Shield commercial\|magellan fee schedule · inpatient	$233	$258	$123	47%	—	$117 – $450
16	Blue Cross Blue Shield commercial\|magellan fee schedule · outpatient	$233	$258	$123	47%	—	$117 – $450
17	First Health commercial\|all plans fee schedule · inpatient	$252	$280	$133	47%	—	$127 – $488
18	First Health commercial\|all plans fee schedule · outpatient	$252	$280	$133	47%	—	$127 – $488
19	Cigna commercial\|all other plans fee schedule · outpatient	$264	$292	$139	47%	—	$133 – $510
20	Cigna commercial\|ppo fee schedule · outpatient	$264	$292	$139	47%	—	$133 – $510
21	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$291	$323	$153	47%	—	$146 – $563
22	MultiPlan commercial\|all plans fee schedule · inpatient	$310	$344	$163	47%	—	$156 – $600
23	MultiPlan commercial\|all plans fee schedule · outpatient	$310	$344	$163	47%	—	$156 – $600
24	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$333	$370	$176	47%	—	$168 – $645
25	Anthem commercial\|mcs fee schedule · inpatient	$368	$409	$194	47%	—	$185 – $713

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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See Static or dynamic ankle-foot orthosis, prefabricated pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.