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 L3221 195X-254
Bakersfield, CA
See all hospitals reporting HCPCS L3221 →Price type
Dignity Health’s median price of $540 is 300% above the median hospital's median price ($135), higher than 83% of the 410 hospitals reporting HCPCS L3221. 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, 25 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|< 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 8 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $563 | $563 | — | — | — | $563 – $563 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $776 | $776 | — | — | — | $776 – $776 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $776 | $776 | — | — | — | $776 – $776 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $788 | $788 | — | — | — | $788 – $788 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $788 | $788 | — | — | — | $788 – $788 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $833 | $833 | — | — | — | $833 – $833 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $833 | $833 | — | — | — | $833 – $833 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $878 | $878 | — | — | — | $878 – $878 |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $878 | $878 | — | — | — | $878 – $878 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $900 | $900 | — | — | — | $900 – $900 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $900 | $900 | — | — | — | $900 – $900 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $990 | $990 | — | — | — | $990 – $990 |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Feb 28, 2026
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