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 L3923 10-13
Folsom, CA
See all hospitals reporting HCPCS L3923 →Price type
Dignity Health’s median price of $53 is 49% below the median hospital's median price ($103), higher than 12% of the 1,422 hospitals reporting HCPCS L3923. 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 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Kaiser commercial|all plans fee schedule · inpatient | $26 | $23 | $6 | 26% | — | $15 – $29 |
| 4 | Kaiser medicaid|all plans fee schedule · inpatient | $26 | $23 | $6 | 26% | — | $15 – $29 |
| 5 | Kaiser medicare|all plans fee schedule · inpatient | $26 | $23 | $6 | 26% | — | $15 – $29 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $28 | $24 | $6 | 26% | — | $16 – $30 |
| 7 | Anthem medicaid|all plans fee schedule · outpatient | $28 | $24 | $6 | 26% | — | $16 – $30 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $30 | $27 | $7 | 26% | — | $17 – $33 |
| 9 | Cigna commercial|localplus fee schedule · inpatient | $46 | $41 | $11 | 26% | — | $26 – $50 |
| 10 | Kaiser medicaid|all plans fee schedule · outpatient | $47 | $42 | $11 | 26% | — | $27 – $52 |
| 11 | Molina medicaid|all plans fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 12 | Cigna commercial|all other plans fee schedule · inpatient | $61 | $54 | $14 | 26% | — | $34 – $67 |
| 13 | Cigna commercial|localplus fee schedule · outpatient | $63 | $56 | $15 | 26% | — | $36 – $69 |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $74 | $65 | $17 | 26% | — | $42 – $81 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $76 | $67 | $18 | 26% | — | $43 – $83 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $78 | $69 | $18 | 26% | — | $44 – $86 |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $81 | $71 | $19 | 26% | — | $46 – $88 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $85 | $75 | $20 | 26% | — | $48 – $93 |
| 19 | First Health commercial|all plans fee schedule · inpatient | $86 | $77 | $20 | 26% | — | $49 – $95 |
| 20 | First Health commercial|all plans fee schedule · outpatient | $86 | $77 | $20 | 26% | — | $49 – $95 |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $91 | $81 | $21 | 26% | — | $51 – $100 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $91 | $81 | $21 | 26% | — | $51 – $100 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $94 | $84 | $22 | 26% | — | $53 – $103 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $94 | $84 | $22 | 26% | — | $53 – $103 |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $98 | $87 | $23 | 26% | — | $55 – $107 |
Last updated: Feb 28, 2026
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