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 L0220 30X-39
Long Beach, CA
See all hospitals reporting HCPCS L0220 →Price type
Dignity Health’s median price of $73 is 54% below the median hospital's median price ($159), higher than 3% of the 890 hospitals reporting HCPCS L0220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | Anthem medicaid|all plans fee schedule · inpatient | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Molina medicaid|all plans fee schedule · inpatient | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Cigna commercial|all other plans fee schedule · inpatient | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Cigna commercial|ppo fee schedule · inpatient | $59 | $59 | — | — | — | $59 – $59 |
| 6 | Anthem commercial|exchange fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 8 | Kaiser medicaid|< 21 fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Kaiser medicaid|> 21 fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $80 | $80 | — | — | — | $80 – $80 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $107 | $107 | — | — | — | $107 – $107 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $113 | $113 | — | — | — | $113 – $113 |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $113 | $113 | — | — | — | $113 – $113 |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $113 | $113 | — | — | — | $113 – $113 |
| 21 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $137 | $137 | — | — | — | $137 – $137 |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
Last updated: Feb 28, 2026
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