Padded orthotic brace addition for knee or ankle correction 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 L2275 88X-115

Carmichael, CA

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How this price compares nationally

Dignity Health’s median price of $407 is 152% above the median hospital's median price ($161), higher than 92% of the 993 hospitals reporting HCPCS L2275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2275 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	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
2	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
3	Molina medicaid\|all plans fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
4	Kaiser commercial\|all plans fee schedule · inpatient	$152	$152	$20	13%	—	$132 – $173
5	Kaiser medicaid\|all plans fee schedule · inpatient	$152	$152	$20	13%	—	$132 – $173
6	Kaiser medicare\|all plans fee schedule · inpatient	$152	$152	$20	13%	—	$132 – $173
7	Anthem medicaid\|all plans fee schedule · inpatient	$159	$159	$21	13%	—	$138 – $180
8	Molina medicaid\|all plans fee schedule · inpatient	$172	$172	$23	13%	—	$150 – $195
9	Anthem medicaid\|all plans fee schedule · outpatient	$197	$197	—	—	—	$197 – $197
10	Cigna commercial\|localplus fee schedule · inpatient	$265	$265	$35	13%	—	$230 – $300
11	Kaiser medicaid\|all plans fee schedule · outpatient	$272	$272	$36	13%	—	$236 – $308
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$345	$345	$46	13%	—	$299 – $390
13	Cigna commercial\|all other plans fee schedule · inpatient	$351	$351	$46	13%	—	$305 – $398
14	Kaiser commercial\|all plans fee schedule · outpatient	$358	$358	$47	13%	—	$311 – $405
15	Cigna commercial\|localplus fee schedule · outpatient	$364	$364	$48	13%	—	$316 – $413
16	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$371	$371	$49	13%	—	$322 – $420
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$371	$371	$49	13%	—	$322 – $420
18	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$371	$371	$49	13%	—	$322 – $420
19	Blue Cross Blue Shield commercial\|aco trio fee schedule · inpatient	$431	$431	$57	13%	—	$374 – $488
20	Cigna commercial\|all other plans fee schedule · outpatient	$490	$490	$65	13%	—	$426 – $555
21	First Health commercial\|all plans fee schedule · inpatient	$497	$497	$66	13%	—	$431 – $563
22	First Health commercial\|all plans fee schedule · outpatient	$497	$497	$66	13%	—	$431 – $563
23	Anthem commercial\|connection epo fee schedule · outpatient	$517	$517	$68	13%	—	$449 – $585
24	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · inpatient	$543	$543	$72	13%	—	$472 – $615
25	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$543	$543	$72	13%	—	$472 – $615

Page 1 of 2 · 36 rates

Last updated: Feb 28, 2026

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See Padded orthotic brace addition for knee or ankle correction pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.