Soft liner for below-knee prosthesis 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 L2820 115X-150

Folsom, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $348 is 221% above the median hospital's median price ($108), higher than 93% of the 1,063 hospitals reporting HCPCS L2820. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2820 at Dignity Health

Negotiated rates from the hospital’s own file: 9 payers, 35 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	$100	$100	—	—	—	$100 – $100
2	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
3	Kaiser commercial\|all plans fee schedule · inpatient	$132	$135	$29	22%	—	$101 – $173
4	Kaiser medicaid\|all plans fee schedule · inpatient	$132	$135	$29	22%	—	$101 – $173
5	Kaiser medicare\|all plans fee schedule · inpatient	$132	$135	$29	22%	—	$101 – $173
6	Anthem medicaid\|all plans fee schedule · inpatient	$138	$141	$30	22%	—	$106 – $180
7	Molina medicaid\|all plans fee schedule · inpatient	$150	$153	$33	22%	—	$114 – $195
8	Molina medicaid\|all plans fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
9	Anthem medicaid\|all plans fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
10	Cigna commercial\|localplus fee schedule · inpatient	$230	$235	$51	22%	—	$176 – $300
11	Kaiser medicaid\|all plans fee schedule · outpatient	$236	$241	$52	22%	—	$180 – $308
12	Cigna commercial\|all other plans fee schedule · inpatient	$305	$312	$67	22%	—	$233 – $398
13	Cigna commercial\|localplus fee schedule · outpatient	$316	$324	$70	22%	—	$242 – $413
14	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$368	$377	$81	22%	—	$282 – $480
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$380	$388	$84	22%	—	$290 – $495
16	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$391	$400	$86	22%	—	$299 – $510
17	Blue Cross Blue Shield commercial\|aco trio fee schedule · inpatient	$403	$412	$89	22%	—	$308 – $525
18	Cigna commercial\|all other plans fee schedule · outpatient	$426	$435	$94	22%	—	$326 – $555
19	First Health commercial\|all plans fee schedule · inpatient	$431	$441	$95	22%	—	$330 – $563
20	First Health commercial\|all plans fee schedule · outpatient	$431	$441	$95	22%	—	$330 – $563
21	Anthem commercial\|connection epo fee schedule · outpatient	$454	$465	$100	22%	—	$348 – $593
22	Kaiser commercial\|all plans fee schedule · outpatient	$454	$465	$100	22%	—	$348 – $593
23	MultiPlan commercial\|all plans fee schedule · inpatient	$472	$482	$104	22%	—	$361 – $615
24	MultiPlan commercial\|all plans fee schedule · outpatient	$472	$482	$104	22%	—	$361 – $615
25	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · inpatient	$489	$500	$108	22%	—	$374 – $638

Page 1 of 2 · 35 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Soft liner for below-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.