Halo brace liner replacement 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 L0861 195X-254

Los Angeles, CA

See all hospitals reporting HCPCS L0861 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $437 is 59% above the median hospital's median price ($274), higher than 87% of the 903 hospitals reporting HCPCS L0861. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0861 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	Anthem medicaid\|all plans fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
2	Molina medicaid\|< 21 fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
3	Molina medicaid\|> 21 fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
4	Kaiser medicaid\|< 21 fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
5	Kaiser medicaid\|> 21 fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
6	Molina medicaid\|< 21 fee schedule · inpatient	$258	$258	$34	13%	—	$224 – $292
7	Molina medicaid\|> 21 fee schedule · inpatient	$258	$258	$34	13%	—	$224 – $292
8	Anthem medicaid\|all plans fee schedule · inpatient	$281	$281	$37	13%	—	$244 – $318
9	Anthem commercial\|exchange fee schedule · outpatient	$393	$393	$52	13%	—	$341 – $445
10	Cigna commercial\|all other plans fee schedule · inpatient	$460	$460	$60	13%	—	$400 – $521
11	Cigna commercial\|ppo fee schedule · inpatient	$460	$460	$60	13%	—	$400 – $521
12	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$494	$494	$65	13%	—	$429 – $559
13	Aetna commercial\|all other plans fee schedule · inpatient	$595	$595	$78	13%	—	$517 – $673
14	Aetna commercial\|hmo fee schedule · inpatient	$595	$595	$78	13%	—	$517 – $673
15	Aetna commercial\|ppo fee schedule · inpatient	$595	$595	$78	13%	—	$517 – $673
16	Anthem commercial\|all other plans fee schedule · outpatient	$606	$606	$80	13%	—	$527 – $686
17	Anthem commercial\|mcs fee schedule · outpatient	$606	$606	$80	13%	—	$527 – $686
18	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$606	$606	$80	13%	—	$527 – $686
19	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$629	$629	$83	13%	—	$546 – $711
20	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$677	$677	—	—	—	$677 – $677
21	First Health commercial\|all plans fee schedule · inpatient	$775	$775	$102	13%	—	$673 – $876
22	First Health commercial\|all plans fee schedule · outpatient	$775	$775	$102	13%	—	$673 – $876
23	Kaiser commercial\|all plans fee schedule · inpatient	$786	$786	$103	13%	—	$683 – $889
24	Kaiser commercial\|all plans fee schedule · outpatient	$786	$786	$103	13%	—	$683 – $889
25	Blue Cross Blue Shield medicare\|promise fee schedule · outpatient	$842	$842	$111	13%	—	$731 – $953

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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