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 L3221 150X-195
Folsom, CA
See all hospitals reporting HCPCS L3221 →Price type
Dignity Health’s median price of $644 is 377% above the median hospital's median price ($135), higher than 90% of the 407 hospitals reporting HCPCS L3221. 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, 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 | $106 | $106 | — | — | — | $106 – $106 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Kaiser commercial|all plans fee schedule · inpatient | $224 | $224 | — | — | — | $224 – $224 |
| 5 | Kaiser medicaid|all plans fee schedule · inpatient | $224 | $224 | — | — | — | $224 – $224 |
| 6 | Kaiser medicare|all plans fee schedule · inpatient | $224 | $224 | — | — | — | $224 – $224 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $234 | $234 | — | — | — | $234 – $234 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $254 | $254 | — | — | — | $254 – $254 |
| 9 | Cigna commercial|localplus fee schedule · inpatient | $390 | $390 | — | — | — | $390 – $390 |
| 10 | Kaiser medicaid|all plans fee schedule · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 11 | Anthem medicaid|all plans fee schedule · outpatient | $403 | $403 | — | — | — | $403 – $403 |
| 12 | Cigna commercial|all other plans fee schedule · inpatient | $517 | $517 | — | — | — | $517 – $517 |
| 13 | Cigna commercial|localplus fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $624 | $624 | — | — | — | $624 – $624 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $644 | $644 | — | — | — | $644 – $644 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $663 | $663 | — | — | — | $663 – $663 |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $683 | $683 | — | — | — | $683 – $683 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 19 | First Health commercial|all plans fee schedule · inpatient | $731 | $731 | — | — | — | $731 – $731 |
| 20 | First Health commercial|all plans fee schedule · outpatient | $731 | $731 | — | — | — | $731 – $731 |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $770 | $770 | — | — | — | $770 – $770 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $770 | $770 | — | — | — | $770 – $770 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $800 | $800 | — | — | — | $800 – $800 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $800 | $800 | — | — | — | $800 – $800 |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $829 | $829 | — | — | — | $829 – $829 |
Last updated: Feb 28, 2026
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