Bilateral hip orthosis with thigh cuffs and abduction bar at Dignity Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ORTHO L1652 67X-88

Carmichael, CA

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Pricing by billing methodology

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How this price compares nationally

Dignity Health’s median price of $312 is 30% below the median hospital's median price ($449), higher than 6% of the 825 hospitals reporting HCPCS L1652. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1652 at Dignity Health

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	Kaiser commercial\|all plans fee schedule · inpatient	$101	$101	—	—	—	$101 – $101
2	Kaiser medicaid\|all plans fee schedule · inpatient	$101	$101	—	—	—	$101 – $101
3	Kaiser medicare\|all plans fee schedule · inpatient	$101	$101	—	—	—	$101 – $101
4	Anthem medicaid\|all plans fee schedule · inpatient	$106	$106	—	—	—	$106 – $106
5	Molina medicaid\|all plans fee schedule · inpatient	$114	$114	—	—	—	$114 – $114
6	Cigna commercial\|localplus fee schedule · inpatient	$176	$176	—	—	—	$176 – $176
7	Kaiser medicaid\|all plans fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
8	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
9	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
10	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
11	Cigna commercial\|all other plans fee schedule · inpatient	$233	$233	—	—	—	$233 – $233
12	Kaiser commercial\|all plans fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
13	Cigna commercial\|localplus fee schedule · outpatient	$242	$242	—	—	—	$242 – $242
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
16	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
17	Blue Cross Blue Shield commercial\|aco trio fee schedule · inpatient	$286	$286	—	—	—	$286 – $286
18	Cigna commercial\|all other plans fee schedule · outpatient	$326	$326	—	—	—	$326 – $326
19	First Health commercial\|all plans fee schedule · inpatient	$330	$330	—	—	—	$330 – $330
20	First Health commercial\|all plans fee schedule · outpatient	$330	$330	—	—	—	$330 – $330
21	Anthem commercial\|connection epo fee schedule · outpatient	$343	$343	—	—	—	$343 – $343
22	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · inpatient	$361	$361	—	—	—	$361 – $361
23	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$361	$361	—	—	—	$361 – $361
24	MultiPlan commercial\|all plans fee schedule · inpatient	$365	$365	—	—	—	$365 – $365
25	MultiPlan commercial\|all plans fee schedule · outpatient	$365	$365	—	—	—	$365 – $365

Page 1 of 2 · 36 rates

Last updated: Feb 28, 2026

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