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 L3000 195X-254
Long Beach, CA
See all hospitals reporting HCPCS L3000 →Price type
Dignity Health’s median price of $479 is 22% above the median hospital's median price ($393), higher than 81% of the 952 hospitals reporting HCPCS L3000. 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 · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $254 | $254 | — | — | — | $254 – $254 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $292 | $292 | — | — | — | $292 – $292 |
| 4 | Cigna commercial|all other plans fee schedule · inpatient | $381 | $381 | — | — | — | $381 – $381 |
| 5 | Cigna commercial|ppo fee schedule · inpatient | $381 | $381 | — | — | — | $381 – $381 |
| 6 | Anthem commercial|exchange fee schedule · outpatient | $432 | $432 | — | — | — | $432 – $432 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 8 | Kaiser medicaid|< 21 fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 9 | Kaiser medicaid|> 21 fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $521 | $521 | — | — | — | $521 – $521 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $597 | $597 | — | — | — | $597 – $597 |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $635 | $635 | — | — | — | $635 – $635 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $699 | $699 | — | — | — | $699 – $699 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $737 | $737 | — | — | — | $737 – $737 |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $737 | $737 | — | — | — | $737 – $737 |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $737 | $737 | — | — | — | $737 – $737 |
| 21 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $826 | $826 | — | — | — | $826 – $826 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $864 | $864 | — | — | — | $864 – $864 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $864 | $864 | — | — | — | $864 – $864 |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $889 | $889 | — | — | — | $889 – $889 |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $889 | $889 | — | — | — | $889 – $889 |
Last updated: Feb 28, 2026
See Removable molded foot insert (UCB-type shell) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.