Ankle brace with air gel padding 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 L2999 150X-195

Folsom, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $339 is 124% above the median hospital's median price ($151), higher than 79% of the 434 hospitals reporting HCPCS L2999. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2999 at Dignity Health

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	$163	$191	$125	65%	—	$59 – $381
2	Kaiser medicaid\|all plans fee schedule · inpatient	$163	$191	$125	65%	—	$59 – $381
3	Kaiser medicare\|all plans fee schedule · inpatient	$163	$191	$125	65%	—	$59 – $381
4	Anthem medicaid\|all plans fee schedule · inpatient	$170	$200	$131	65%	—	$61 – $397
5	Anthem medicaid\|all plans fee schedule · outpatient	$170	$200	$131	65%	—	$61 – $397
6	Molina medicaid\|all plans fee schedule · inpatient	$184	$216	$141	65%	—	$66 – $430
7	Molina medicaid\|all plans fee schedule · outpatient	$184	$216	$141	65%	—	$66 – $430
8	Cigna commercial\|localplus fee schedule · inpatient	$283	$333	$218	65%	—	$102 – $662
9	Kaiser medicaid\|all plans fee schedule · outpatient	$290	$341	$223	65%	—	$105 – $679
10	Cigna commercial\|all other plans fee schedule · inpatient	$375	$441	$288	65%	—	$135 – $877
11	Cigna commercial\|localplus fee schedule · outpatient	$389	$457	$299	65%	—	$140 – $910
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$453	$532	$348	65%	—	$163 – $1.1k
13	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$467	$549	$359	65%	—	$168 – $1.1k
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$481	$565	$370	65%	—	$173 – $1.1k
15	Blue Cross Blue Shield commercial\|aco trio fee schedule · inpatient	$495	$582	$381	65%	—	$179 – $1.2k
16	Cigna commercial\|all other plans fee schedule · outpatient	$524	$615	$403	65%	—	$189 – $1.2k
17	First Health commercial\|all plans fee schedule · inpatient	$531	$623	$408	65%	—	$191 – $1.2k
18	First Health commercial\|all plans fee schedule · outpatient	$531	$623	$408	65%	—	$191 – $1.2k
19	Anthem commercial\|connection epo fee schedule · outpatient	$559	$657	$430	65%	—	$201 – $1.3k
20	Kaiser commercial\|all plans fee schedule · outpatient	$559	$657	$430	65%	—	$201 – $1.3k
21	MultiPlan commercial\|all plans fee schedule · inpatient	$580	$682	$446	65%	—	$209 – $1.4k
22	MultiPlan commercial\|all plans fee schedule · outpatient	$580	$682	$446	65%	—	$209 – $1.4k
23	Blue Cross Blue Shield commercial\|aco trio calpers fee schedule · inpatient	$601	$707	$463	65%	—	$217 – $1.4k
24	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$601	$707	$463	65%	—	$217 – $1.4k
25	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$637	$748	$490	65%	—	$230 – $1.5k

Page 1 of 2 · 33 rates

Last updated: Feb 28, 2026

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