Men's high-top depth-inlay shoes 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 L3222 115X-150

Long Beach, CA

See all hospitals reporting HCPCS L3222 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $270 is 111% above the median hospital's median price ($128), higher than 79% of the 338 hospitals reporting HCPCS L3222. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3222 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	Molina medicaid\|all plans fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
2	Kaiser medicaid\|< 21 fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
3	Kaiser medicaid\|> 21 fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
4	Anthem medicaid\|all plans fee schedule · inpatient	$150	$150	—	—	—	$150 – $150
5	Anthem medicaid\|all plans fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
6	Molina medicaid\|all plans fee schedule · inpatient	$173	$173	—	—	—	$173 – $173
7	Cigna commercial\|all other plans fee schedule · inpatient	$225	$225	—	—	—	$225 – $225
8	Cigna commercial\|ppo fee schedule · inpatient	$225	$225	—	—	—	$225 – $225
9	Anthem commercial\|exchange fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
10	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$308	$308	—	—	—	$308 – $308
11	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$353	$353	—	—	—	$353 – $353
12	Anthem commercial\|all other plans fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
13	Anthem commercial\|mcs fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
15	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
16	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$390	$390	—	—	—	$390 – $390
17	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$413	$413	—	—	—	$413 – $413
18	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$422	$422	—	—	—	$422 – $422
19	Aetna commercial\|all other plans fee schedule · inpatient	$435	$435	—	—	—	$435 – $435
20	Aetna commercial\|hmo fee schedule · inpatient	$435	$435	—	—	—	$435 – $435
21	Aetna commercial\|ppo fee schedule · inpatient	$435	$435	—	—	—	$435 – $435
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
23	Cigna commercial\|all other plans fee schedule · outpatient	$510	$510	—	—	—	$510 – $510
24	Cigna commercial\|ppo fee schedule · outpatient	$510	$510	—	—	—	$510 – $510
25	Kaiser commercial\|all plans fee schedule · inpatient	$525	$525	—	—	—	$525 – $525

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Men's high-top depth-inlay shoes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.