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 A4565 30X-39
Folsom, CA
See all hospitals reporting HCPCS A4565 →Price type
Dignity Health’s median price of $139 is 1107% above the median hospital's median price ($12), higher than 97% of the 1,276 hospitals reporting HCPCS A4565. 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, 33 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 | $59 | $63 | $24 | 38% | — | $35 – $101 |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $59 | $63 | $24 | 38% | — | $35 – $101 |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $59 | $63 | $24 | 38% | — | $35 – $101 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $61 | $66 | $25 | 38% | — | $36 – $106 |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $61 | $66 | $25 | 38% | — | $36 – $106 |
| 6 | Molina medicaid|all plans fee schedule · inpatient | $66 | $72 | $27 | 38% | — | $39 – $114 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $66 | $72 | $27 | 38% | — | $39 – $114 |
| 8 | Cigna commercial|localplus fee schedule · inpatient | $102 | $110 | $41 | 38% | — | $60 – $176 |
| 9 | Kaiser medicaid|all plans fee schedule · outpatient | $105 | $113 | $42 | 38% | — | $62 – $180 |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $135 | $146 | $55 | 38% | — | $80 – $233 |
| 11 | Cigna commercial|localplus fee schedule · outpatient | $140 | $151 | $57 | 38% | — | $83 – $242 |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $163 | $176 | $66 | 38% | — | $96 – $282 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $168 | $182 | $68 | 38% | — | $99 – $290 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $173 | $187 | $70 | 38% | — | $102 – $299 |
| 15 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $179 | $193 | $72 | 38% | — | $105 – $308 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $189 | $204 | $76 | 38% | — | $111 – $326 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $191 | $206 | $77 | 38% | — | $113 – $330 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $191 | $206 | $77 | 38% | — | $113 – $330 |
| 19 | Anthem commercial|connection epo fee schedule · outpatient | $201 | $217 | $82 | 38% | — | $119 – $348 |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $201 | $217 | $82 | 38% | — | $119 – $348 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $209 | $226 | $85 | 38% | — | $123 – $361 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $209 | $226 | $85 | 38% | — | $123 – $361 |
| 23 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $217 | $234 | $88 | 38% | — | $128 – $374 |
| 24 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $217 | $234 | $88 | 38% | — | $128 – $374 |
| 25 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $230 | $248 | $93 | 38% | — | $135 – $396 |
Last updated: Feb 28, 2026
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