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 L3999 30X-39
Folsom, CA
See all hospitals reporting HCPCS L3999 →Price type
Dignity Health’s median price of $158 is 166% above the median hospital's median price ($59), higher than 76% of the 544 hospitals reporting HCPCS L3999. 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser commercial|all plans fee schedule · inpatient | $59 | $557 | $1.2k | 223% | — | $20 – $4.1k |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $59 | $557 | $1.2k | 223% | — | $20 – $4.1k |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $59 | $557 | $1.2k | 223% | — | $20 – $4.1k |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $61 | $582 | $1.3k | 223% | — | $20 – $4.2k |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $61 | $582 | $1.3k | 223% | — | $20 – $4.2k |
| 6 | Molina medicaid|all plans fee schedule · inpatient | $66 | $630 | $1.4k | 223% | — | $22 – $4.6k |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $66 | $630 | $1.4k | 223% | — | $22 – $4.6k |
| 8 | Cigna commercial|localplus fee schedule · inpatient | $102 | $969 | $2.2k | 223% | — | $34 – $7.1k |
| 9 | Kaiser medicaid|all plans fee schedule · outpatient | $105 | $994 | $2.2k | 223% | — | $35 – $7.2k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $135 | $1.3k | $2.9k | 223% | — | $45 – $9.4k |
| 11 | Cigna commercial|localplus fee schedule · outpatient | $140 | $1.3k | $3.0k | 223% | — | $47 – $9.7k |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $163 | $1.6k | $3.5k | 223% | — | $54 – $11.3k |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $168 | $1.6k | $3.6k | 223% | — | $56 – $11.6k |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $173 | $1.6k | $3.7k | 223% | — | $58 – $12.0k |
| 15 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $179 | $1.7k | $3.8k | 223% | — | $60 – $12.4k |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $189 | $1.8k | $4.0k | 223% | — | $63 – $13.1k |
| 17 | First Health commercial|all plans fee schedule · inpatient | $191 | $1.8k | $4.1k | 223% | — | $64 – $13.2k |
| 18 | First Health commercial|all plans fee schedule · outpatient | $191 | $1.8k | $4.1k | 223% | — | $64 – $13.2k |
| 19 | Anthem commercial|connection epo fee schedule · outpatient | $201 | $1.9k | $4.3k | 223% | — | $67 – $13.9k |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $201 | $1.9k | $4.3k | 223% | — | $67 – $13.9k |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $209 | $2.0k | $4.4k | 223% | — | $70 – $14.5k |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $209 | $2.0k | $4.4k | 223% | — | $70 – $14.5k |
| 23 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $217 | $2.1k | $4.6k | 223% | — | $72 – $15.0k |
| 24 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $217 | $2.1k | $4.6k | 223% | — | $72 – $15.0k |
| 25 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $230 | $2.2k | $4.9k | 223% | — | $77 – $15.9k |
Last updated: Feb 28, 2026
See Upper limb orthosis, not otherwise specified pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.