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 L1220 195X-254
Sacramento, CA
See all hospitals reporting HCPCS L1220 →Price type
Dignity Community Care’s median price of $826 is 177% above the median hospital's median price ($298), higher than 97% of the 910 hospitals reporting HCPCS L1220. 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, 37 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 4 | Kaiser commercial|all plans fee schedule · inpatient | $292 | $292 | — | — | — | $292 – $292 |
| 5 | Kaiser medicaid|all plans fee schedule · inpatient | $292 | $292 | — | — | — | $292 – $292 |
| 6 | Kaiser medicare|all plans fee schedule · inpatient | $292 | $292 | — | — | — | $292 – $292 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $305 | $305 | — | — | — | $305 – $305 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $330 | $330 | — | — | — | $330 – $330 |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 10 | Cigna commercial|localplus fee schedule · inpatient | $508 | $508 | — | — | — | $508 – $508 |
| 11 | Kaiser medicaid|all plans fee schedule · outpatient | $521 | $521 | — | — | — | $521 – $521 |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $648 | $648 | — | — | — | $648 – $648 |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $673 | $673 | — | — | — | $673 – $673 |
| 14 | Cigna commercial|localplus fee schedule · outpatient | $699 | $699 | — | — | — | $699 – $699 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $724 | $724 | — | — | — | $724 – $724 |
| 16 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $724 | $724 | — | — | — | $724 – $724 |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $762 | $762 | — | — | — | $762 – $762 |
| 18 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $775 | $775 | — | — | — | $775 – $775 |
| 19 | Anthem commercial|brms fee schedule · inpatient | $914 | $914 | — | — | — | $914 – $914 |
| 20 | Anthem commercial|brms fee schedule · outpatient | $914 | $914 | — | — | — | $914 – $914 |
| 21 | Cigna commercial|all other plans fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 22 | First Health commercial|all plans fee schedule · inpatient | $953 | $953 | — | — | — | $953 – $953 |
| 23 | First Health commercial|all plans fee schedule · outpatient | $953 | $953 | — | — | — | $953 – $953 |
| 24 | Anthem commercial|connection epo fee schedule · outpatient | $965 | $965 | — | — | — | $965 – $965 |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $965 | $965 | — | — | — | $965 – $965 |
Last updated: Feb 28, 2026
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