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 L4386 17X-23
Folsom, CA
See all hospitals reporting HCPCS L4386 →Price type
Dignity Health’s median price of $102 is 48% below the median hospital's median price ($195), higher than 15% of the 1,442 hospitals reporting HCPCS L4386. 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 | $35 | $60 | $57 | 96% | — | $20 – $173 |
| 2 | Kaiser medicaid|all plans fee schedule · inpatient | $35 | $60 | $57 | 96% | — | $20 – $173 |
| 3 | Kaiser medicare|all plans fee schedule · inpatient | $35 | $60 | $57 | 96% | — | $20 – $173 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $36 | $62 | $60 | 96% | — | $20 – $180 |
| 5 | Molina medicaid|all plans fee schedule · inpatient | $39 | $67 | $65 | 96% | — | $22 – $195 |
| 6 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $100 | $97 | $6 | 6% | — | $85 – $100 |
| 7 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $100 | $97 | $6 | 6% | — | $85 – $100 |
| 8 | Cigna commercial|localplus fee schedule · inpatient | $60 | $104 | $99 | 96% | — | $34 – $300 |
| 9 | Kaiser medicaid|all plans fee schedule · outpatient | $62 | $106 | $102 | 96% | — | $35 – $308 |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $80 | $137 | $132 | 96% | — | $45 – $398 |
| 11 | Cigna commercial|localplus fee schedule · outpatient | $83 | $142 | $137 | 96% | — | $47 – $413 |
| 12 | Molina medicaid|all plans fee schedule · outpatient | $150 | $145 | $40 | 28% | 5–50 | $85 – $187 |
| 13 | Anthem medicaid|all plans fee schedule · outpatient | $150 | $146 | $41 | 28% | — | $85 – $189 |
| 14 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $96 | $166 | $159 | 96% | — | $54 – $480 |
| 15 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $99 | $171 | $164 | 96% | — | $56 – $495 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $102 | $176 | $169 | 96% | — | $58 – $510 |
| 17 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $105 | $181 | $174 | 96% | — | $60 – $525 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $111 | $192 | $184 | 96% | — | $63 – $555 |
| 19 | First Health commercial|all plans fee schedule · inpatient | $113 | $194 | $186 | 96% | — | $64 – $563 |
| 20 | First Health commercial|all plans fee schedule · outpatient | $113 | $194 | $186 | 96% | — | $64 – $563 |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $119 | $205 | $196 | 96% | — | $67 – $593 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $119 | $205 | $196 | 96% | — | $67 – $593 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $123 | $212 | $204 | 96% | — | $70 – $615 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $123 | $212 | $204 | 96% | — | $70 – $615 |
| 25 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $128 | $220 | $211 | 96% | — | $72 – $638 |
Last updated: Feb 28, 2026
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