Metatarsal bar wedge shoe insert 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 L3400 23X-30

Long Beach, CA

See all hospitals reporting HCPCS L3400 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $45 is 12% below the median hospital's median price ($51), higher than 9% of the 857 hospitals reporting HCPCS L3400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3400 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	$9	$9	—	—	—	$9 – $9
2	Molina medicaid\|all plans fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
5	Anthem medicaid\|all plans fee schedule · inpatient	$30	$30	—	—	—	$30 – $30
6	Molina medicaid\|all plans fee schedule · inpatient	$35	$35	—	—	—	$35 – $35
7	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
8	Cigna commercial\|all other plans fee schedule · inpatient	$45	$45	—	—	—	$45 – $45
9	Cigna commercial\|ppo fee schedule · inpatient	$45	$45	—	—	—	$45 – $45
10	Anthem commercial\|exchange fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
11	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$62	$62	—	—	—	$62 – $62
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
13	Anthem commercial\|all other plans fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
14	Anthem commercial\|mcs fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
15	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
16	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$83	$83	—	—	—	$83 – $83
19	Aetna commercial\|all other plans fee schedule · inpatient	$87	$87	—	—	—	$87 – $87
20	Aetna commercial\|hmo fee schedule · inpatient	$87	$87	—	—	—	$87 – $87
21	Aetna commercial\|ppo fee schedule · inpatient	$87	$87	—	—	—	$87 – $87
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
23	Cigna commercial\|all other plans fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
24	Cigna commercial\|ppo fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
25	Kaiser commercial\|all plans fee schedule · inpatient	$105	$105	—	—	—	$105 – $105

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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