Off-the-shelf canvas knee immobilizer brace, long at Dignity Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ORTHO L1830 17X-23

Long Beach, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $96 is 29% above the median hospital's median price ($74), higher than 79% of the 1,774 hospitals reporting HCPCS L1830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1830 at Dignity Health

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 · outpatient	$109	$93	$22	24%	—	$50 – $109
2	Molina medicaid\|all plans fee schedule · outpatient	$128	$110	$36	32%	—	$50 – $141
3	Anthem medicaid\|all plans fee schedule · inpatient	$37	$128	$230	179%	—	$10 – $730
4	Kaiser medicaid\|< 21 fee schedule · outpatient	$151	$132	$28	21%	—	$75 – $151
5	Kaiser medicaid\|> 21 fee schedule · outpatient	$151	$132	$28	21%	—	$75 – $151
6	Molina medicaid\|all plans fee schedule · inpatient	$43	$147	$264	179%	—	$12 – $840
7	Cigna commercial\|all other plans fee schedule · inpatient	$56	$192	$345	179%	—	$15 – $1.1k
8	Cigna commercial\|ppo fee schedule · inpatient	$56	$192	$345	179%	—	$15 – $1.1k
9	Anthem commercial\|exchange fee schedule · outpatient	$63	$218	$391	179%	—	$17 – $1.2k
10	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$76	$263	$471	179%	—	$21 – $1.5k
11	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$87	$301	$540	179%	—	$24 – $1.7k
12	Anthem commercial\|all other plans fee schedule · outpatient	$93	$321	$575	179%	—	$25 – $1.8k
13	Anthem commercial\|mcs fee schedule · outpatient	$93	$321	$575	179%	—	$25 – $1.8k
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$93	$321	$575	179%	—	$25 – $1.8k
15	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$93	$321	$575	179%	—	$25 – $1.8k
16	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$96	$333	$598	179%	—	$26 – $1.9k
17	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$102	$353	$632	179%	—	$28 – $2.0k
18	Aetna commercial\|all other plans fee schedule · inpatient	$107	$372	$667	179%	—	$29 – $2.1k
19	Aetna commercial\|hmo fee schedule · inpatient	$107	$372	$667	179%	—	$29 – $2.1k
20	Aetna commercial\|ppo fee schedule · inpatient	$107	$372	$667	179%	—	$29 – $2.1k
21	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$120	$417	$747	179%	—	$33 – $2.4k
22	Cigna commercial\|all other plans fee schedule · outpatient	$126	$436	$782	179%	—	$34 – $2.5k
23	Cigna commercial\|ppo fee schedule · outpatient	$126	$436	$782	179%	—	$34 – $2.5k
24	Kaiser commercial\|all plans fee schedule · inpatient	$130	$449	$805	179%	—	$35 – $2.6k
25	Kaiser commercial\|all plans fee schedule · outpatient	$130	$449	$805	179%	—	$35 – $2.6k

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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