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 L0472 331X-431
Carmichael, CA
See all hospitals reporting HCPCS L0472 →Price type
Dignity Health’s median price of $1.5k is 165% above the median hospital's median price ($556), higher than 96% of the 1,145 hospitals reporting HCPCS L0472. 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 | $325 | $325 | — | — | — | $325 – $325 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 3 | Kaiser commercial|all plans fee schedule · inpatient | $570 | $570 | $75 | 13% | — | $496 – $645 |
| 4 | Kaiser medicaid|all plans fee schedule · inpatient | $570 | $570 | $75 | 13% | — | $496 – $645 |
| 5 | Kaiser medicare|all plans fee schedule · inpatient | $570 | $570 | $75 | 13% | — | $496 – $645 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $595 | $595 | $78 | 13% | — | $517 – $673 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $610 | $610 | — | — | — | $610 – $610 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $617 | $617 | — | — | — | $617 – $617 |
| 9 | Molina medicaid|all plans fee schedule · inpatient | $645 | $645 | $85 | 13% | — | $560 – $729 |
| 10 | Cigna commercial|localplus fee schedule · inpatient | $992 | $992 | $130 | 13% | — | $862 – $1.1k |
| 11 | Kaiser medicaid|all plans fee schedule · outpatient | $1.0k | $1.0k | $133 | 13% | — | $884 – $1.2k |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $1.3k | $1.3k | $169 | 13% | — | $1.1k – $1.5k |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $1.3k | $1.3k | $172 | 13% | — | $1.1k – $1.5k |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $1.3k | $1.3k | $176 | 13% | — | $1.2k – $1.5k |
| 15 | Cigna commercial|localplus fee schedule · outpatient | $1.4k | $1.4k | $179 | 13% | — | $1.2k – $1.5k |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.4k | $1.4k | $182 | 13% | — | $1.2k – $1.6k |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.4k | $1.4k | $182 | 13% | — | $1.2k – $1.6k |
| 18 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $1.4k | $1.4k | $182 | 13% | — | $1.2k – $1.6k |
| 19 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $1.6k | $1.6k | $211 | 13% | — | $1.4k – $1.8k |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $1.8k | $1.8k | $241 | 13% | — | $1.6k – $2.1k |
| 21 | First Health commercial|all plans fee schedule · inpatient | $1.9k | $1.9k | $244 | 13% | — | $1.6k – $2.1k |
| 22 | First Health commercial|all plans fee schedule · outpatient | $1.9k | $1.9k | $244 | 13% | — | $1.6k – $2.1k |
| 23 | Anthem commercial|connection epo fee schedule · outpatient | $1.9k | $1.9k | $254 | 13% | — | $1.7k – $2.2k |
| 24 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $2.0k | $2.0k | $267 | 13% | — | $1.8k – $2.3k |
| 25 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $2.0k | $2.0k | $267 | 13% | — | $1.8k – $2.3k |
Last updated: Feb 28, 2026
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