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 L3995 23X-30
Henderson, NV
See all hospitals reporting HCPCS L3995 →Price type
Dignity Health’s median price of $107 is 133% above the median hospital's median price ($46), higher than 93% of the 1,010 hospitals reporting HCPCS L3995. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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 commercial|dh employees fee schedule · inpatient | $80 | $80 | — | — | — | $80 – $80 |
| 2 | UnitedHealthcare commercial|dh employees fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Aetna commercial|hmo fee schedule · inpatient | $88 | $88 | — | — | — | $88 – $88 |
| 4 | Aetna commercial|all other plans fee schedule · inpatient | $91 | $91 | — | — | — | $91 – $91 |
| 5 | Aetna commercial|ppo fee schedule · inpatient | $91 | $91 | — | — | — | $91 – $91 |
| 6 | Anthem commercial|hmo fee schedule · inpatient | $94 | $94 | — | — | — | $94 – $94 |
| 7 | Anthem commercial|ppo fee schedule · inpatient | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Cigna commercial|all other plans fee schedule · inpatient | $166 | $166 | — | — | — | $166 – $166 |
| 9 | Cigna commercial|all other plans fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 10 | Cigna commercial|ppo fee schedule · inpatient | $166 | $166 | — | — | — | $166 – $166 |
| 11 | Cigna commercial|ppo fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $185 | $185 | — | — | — | $185 – $185 |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 14 | UnitedHealthcare commercial|options fee schedule · inpatient | $193 | $193 | — | — | — | $193 – $193 |
| 15 | UnitedHealthcare commercial|options fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
Last updated: Feb 28, 2026
See Sock for upper extremity orthosis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.