Lower extremity orthosis addition, lightweight composite segment 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 L2755 150X-195

Long Beach, CA

See all hospitals reporting HCPCS L2755 →

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Pricing by billing methodology

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How this price compares nationally

Dignity Health’s median price of $351 is 112% above the median hospital's median price ($166), higher than 93% of the 883 hospitals reporting HCPCS L2755. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2755 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	$89	$89	—	—	—	$89 – $89
2	Molina medicaid\|all plans fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
5	Anthem medicaid\|all plans fee schedule · inpatient	$195	$195	—	—	—	$195 – $195
6	Molina medicaid\|all plans fee schedule · inpatient	$224	$224	—	—	—	$224 – $224
7	Cigna commercial\|all other plans fee schedule · inpatient	$293	$293	—	—	—	$293 – $293
8	Cigna commercial\|ppo fee schedule · inpatient	$293	$293	—	—	—	$293 – $293
9	Anthem commercial\|exchange fee schedule · outpatient	$332	$332	—	—	—	$332 – $332
10	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$400	$400	—	—	—	$400 – $400
11	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$444	$444	—	—	—	$444 – $444
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$458	$458	—	—	—	$458 – $458
13	Anthem commercial\|all other plans fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
14	Anthem commercial\|mcs fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
15	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
16	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$507	$507	—	—	—	$507 – $507
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$536	$536	—	—	—	$536 – $536
19	Aetna commercial\|all other plans fee schedule · inpatient	$566	$566	—	—	—	$566 – $566
20	Aetna commercial\|hmo fee schedule · inpatient	$566	$566	—	—	—	$566 – $566
21	Aetna commercial\|ppo fee schedule · inpatient	$566	$566	—	—	—	$566 – $566
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$634	$634	—	—	—	$634 – $634
23	Cigna commercial\|all other plans fee schedule · outpatient	$663	$663	—	—	—	$663 – $663
24	Cigna commercial\|ppo fee schedule · outpatient	$663	$663	—	—	—	$663 – $663
25	Kaiser commercial\|all plans fee schedule · inpatient	$683	$683	—	—	—	$683 – $683

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Lower extremity orthosis addition, lightweight composite segment pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.