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
WHO W NONTORSION JT(S) CF
Folsom, CA
See all hospitals reporting HCPCS L3905 →Price type
Dignity Health’s median price of $1.3k is 19% above the median hospital's median price ($1.1k), higher than 80% of the 1,126 hospitals reporting HCPCS L3905. 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 | Kaiser commercial|all plans fee schedule · inpatient | $426 | $426 | — | — | — | $426 – $426 |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $426 | $426 | — | — | — | $426 – $426 |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $426 | $426 | — | — | — | $426 – $426 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $444 | $444 | — | — | — | $444 – $444 |
| 5 | Molina medicaid|all plans fee schedule · inpatient | $481 | $481 | — | — | — | $481 – $481 |
| 6 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $567 | $567 | — | — | — | $567 – $567 |
| 7 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $567 | $567 | — | — | — | $567 – $567 |
| 8 | Cigna commercial|localplus fee schedule · inpatient | $740 | $740 | — | — | — | $740 – $740 |
| 9 | Kaiser medicaid|all plans fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $981 | $981 | — | — | — | $981 – $981 |
| 11 | Cigna commercial|localplus fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Molina medicaid|all plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Anthem medicaid|all plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | First Health commercial|all plans fee schedule · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | First Health commercial|all plans fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Feb 28, 2026
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