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 L0464 195X-254
Carmichael, CA
See all hospitals reporting HCPCS L0464 →Price type
Dignity Health’s median price of $1.3k is 32% below the median hospital's median price ($1.8k), higher than 22% of the 1,215 hospitals reporting HCPCS L0464. 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, 36 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 | $934 | $934 | — | — | — | $934 – $934 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $934 | $934 | — | — | — | $934 – $934 |
| 3 | Kaiser commercial|all plans fee schedule · inpatient | $1.1k | $1.1k | $777 | 73% | — | $292 – $1.8k |
| 4 | Kaiser medicaid|all plans fee schedule · inpatient | $1.1k | $1.1k | $777 | 73% | — | $292 – $1.8k |
| 5 | Kaiser medicare|all plans fee schedule · inpatient | $1.1k | $1.1k | $777 | 73% | — | $292 – $1.8k |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $1.1k | $1.1k | $811 | 73% | — | $305 – $1.9k |
| 7 | Molina medicaid|all plans fee schedule · inpatient | $1.2k | $1.2k | $878 | 73% | — | $330 – $2.1k |
| 8 | Molina medicaid|all plans fee schedule · outpatient | $1.5k | $1.5k | $243 | 16% | — | $1.3k – $1.8k |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $1.5k | $1.5k | $253 | 17% | — | $1.3k – $1.8k |
| 10 | Cigna commercial|localplus fee schedule · inpatient | $1.9k | $1.9k | $1.4k | 73% | — | $508 – $3.2k |
| 11 | Kaiser medicaid|all plans fee schedule · outpatient | $1.9k | $1.9k | $1.4k | 73% | — | $521 – $3.3k |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $2.4k | $2.4k | $1.8k | 73% | — | $660 – $4.2k |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $2.5k | $2.5k | $1.8k | 73% | — | $673 – $4.3k |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $2.5k | $2.5k | $1.8k | 73% | — | $686 – $4.3k |
| 15 | Cigna commercial|localplus fee schedule · outpatient | $2.6k | $2.6k | $1.9k | 73% | — | $699 – $4.4k |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2.6k | $2.6k | $1.9k | 73% | — | $711 – $4.5k |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2.6k | $2.6k | $1.9k | 73% | — | $711 – $4.5k |
| 18 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $2.6k | $2.6k | $1.9k | 73% | — | $711 – $4.5k |
| 19 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $3.0k | $3.0k | $2.2k | 73% | — | $826 – $5.2k |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $3.4k | $3.4k | $2.5k | 73% | — | $940 – $5.9k |
| 21 | First Health commercial|all plans fee schedule · inpatient | $3.5k | $3.5k | $2.5k | 73% | — | $953 – $6.0k |
| 22 | First Health commercial|all plans fee schedule · outpatient | $3.5k | $3.5k | $2.5k | 73% | — | $953 – $6.0k |
| 23 | Anthem commercial|connection epo fee schedule · outpatient | $3.6k | $3.6k | $2.6k | 73% | — | $991 – $6.3k |
| 24 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $3.8k | $3.8k | $2.8k | 73% | — | $1.0k – $6.6k |
| 25 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $3.8k | $3.8k | $2.8k | 73% | — | $1.0k – $6.6k |
Last updated: Feb 28, 2026
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