Removable premolded arch support for foot 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 L3040 30X-39

Long Beach, CA

See all hospitals reporting HCPCS L3040 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $114 is 92% above the median hospital's median price ($59), higher than 93% of the 959 hospitals reporting HCPCS L3040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3040 at Dignity Health

Negotiated rates from the hospital’s own file: 8 payers, 25 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	$55	$55	—	—	—	$55 – $55
2	Anthem medicaid\|all plans fee schedule · inpatient	$64	$64	$25	39%	—	$39 – $88
3	Molina medicaid\|all plans fee schedule · inpatient	$73	$73	$28	39%	—	$45 – $101
4	Molina medicaid\|all plans fee schedule · outpatient	$73	$73	$28	39%	—	$45 – $101
5	Cigna commercial\|all other plans fee schedule · inpatient	$95	$95	$37	39%	—	$59 – $132
6	Cigna commercial\|ppo fee schedule · inpatient	$95	$95	$37	39%	—	$59 – $132
7	Anthem commercial\|exchange fee schedule · outpatient	$108	$108	$42	39%	—	$66 – $150
8	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$130	$130	$50	39%	—	$80 – $180
9	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$149	$149	$58	39%	—	$92 – $207
10	Anthem commercial\|all other plans fee schedule · outpatient	$159	$159	$61	39%	—	$98 – $220
11	Anthem commercial\|mcs fee schedule · outpatient	$159	$159	$61	39%	—	$98 – $220
12	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$159	$159	$61	39%	—	$98 – $220
13	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$159	$159	$61	39%	—	$98 – $220
14	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$165	$165	$64	39%	—	$101 – $229
15	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$175	$175	$67	39%	—	$107 – $242
16	Aetna commercial\|all other plans fee schedule · inpatient	$184	$184	$71	39%	—	$113 – $255
17	Aetna commercial\|hmo fee schedule · inpatient	$184	$184	$71	39%	—	$113 – $255
18	Aetna commercial\|ppo fee schedule · inpatient	$184	$184	$71	39%	—	$113 – $255
19	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$206	$206	$80	39%	—	$127 – $286
20	Cigna commercial\|all other plans fee schedule · outpatient	$216	$216	$83	39%	—	$133 – $299
21	Cigna commercial\|ppo fee schedule · outpatient	$216	$216	$83	39%	—	$133 – $299
22	Kaiser commercial\|all plans fee schedule · inpatient	$222	$222	$86	39%	—	$137 – $308
23	Kaiser commercial\|all plans fee schedule · outpatient	$222	$222	$86	39%	—	$137 – $308
24	MultiPlan commercial\|all plans fee schedule · inpatient	$254	$254	$98	39%	—	$156 – $352
25	MultiPlan commercial\|all plans fee schedule · outpatient	$254	$254	$98	39%	—	$156 – $352

Last updated: Feb 28, 2026

Compare to other hospitals

See Removable premolded arch support for foot pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.