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 L3995 88X-115
Bakersfield, CA
See all hospitals reporting HCPCS L3995 →Price type
Dignity Health’s median price of $86 is 88% above the median hospital's median price ($46), higher than 89% of the 1,010 hospitals reporting HCPCS L3995. 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 | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $142 | $145 | $80 | 56% | — | $48 – $245 |
| 8 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $142 | $145 | $80 | 56% | — | $48 – $245 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $145 | $148 | $82 | 56% | — | $49 – $250 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $148 | $151 | $84 | 56% | — | $50 – $255 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $204 | $208 | $116 | 56% | — | $69 – $352 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $204 | $208 | $116 | 56% | — | $69 – $352 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $207 | $211 | $117 | 56% | — | $70 – $357 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $207 | $211 | $117 | 56% | — | $70 – $357 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $218 | $223 | $124 | 56% | — | $74 – $377 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $218 | $223 | $124 | 56% | — | $74 – $377 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $230 | $235 | $131 | 56% | — | $78 – $398 |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $230 | $235 | $131 | 56% | — | $78 – $398 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $236 | $241 | $134 | 56% | — | $80 – $408 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $236 | $241 | $134 | 56% | — | $80 – $408 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $260 | $265 | $147 | 56% | — | $88 – $449 |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $266 | $272 | $151 | 56% | — | $90 – $459 |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $280 | $287 | $159 | 56% | — | $95 – $485 |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $280 | $287 | $159 | 56% | — | $95 – $485 |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $280 | $287 | $159 | 56% | — | $95 – $485 |
Last updated: Feb 28, 2026
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