Orthopedic shoe modification, unspecified 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 L3649 17X-23

Long Beach, CA

See all hospitals reporting HCPCS L3649 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $67 is 117% above the median hospital's median price ($31), higher than 70% of the 214 hospitals reporting HCPCS L3649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3649 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.

Filter by billing methodology

Filter by billing class

#
1	Anthem medicaid\|all plans fee schedule · inpatient	$37	$37	$14	38%	—	$23 – $51
2	Anthem medicaid\|all plans fee schedule · outpatient	$37	$37	$14	38%	—	$23 – $51
3	Molina medicaid\|all plans fee schedule · inpatient	$43	$43	$16	38%	—	$26 – $59
4	Molina medicaid\|all plans fee schedule · outpatient	$43	$43	$16	38%	—	$26 – $59
5	Cigna commercial\|all other plans fee schedule · inpatient	$56	$56	$21	38%	—	$35 – $77
6	Cigna commercial\|ppo fee schedule · inpatient	$56	$56	$21	38%	—	$35 – $77
7	Anthem commercial\|exchange fee schedule · outpatient	$63	$63	$24	38%	—	$39 – $87
8	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$76	$76	$29	38%	—	$47 – $105
9	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$87	$87	$33	38%	—	$54 – $120
10	Anthem commercial\|all other plans fee schedule · outpatient	$93	$93	$35	38%	—	$58 – $128
11	Anthem commercial\|mcs fee schedule · outpatient	$93	$93	$35	38%	—	$58 – $128
12	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$93	$93	$35	38%	—	$58 – $128
13	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$93	$93	$35	38%	—	$58 – $128
14	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$96	$96	$36	38%	—	$60 – $133
15	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$102	$102	$39	38%	—	$63 – $140
16	Aetna commercial\|all other plans fee schedule · inpatient	$107	$107	$41	38%	—	$67 – $148
17	Aetna commercial\|hmo fee schedule · inpatient	$107	$107	$41	38%	—	$67 – $148
18	Aetna commercial\|ppo fee schedule · inpatient	$107	$107	$41	38%	—	$67 – $148
19	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$120	$120	$46	38%	—	$75 – $166
20	Cigna commercial\|all other plans fee schedule · outpatient	$126	$126	$48	38%	—	$78 – $173
21	Cigna commercial\|ppo fee schedule · outpatient	$126	$126	$48	38%	—	$78 – $173
22	Kaiser commercial\|all plans fee schedule · inpatient	$130	$130	$49	38%	—	$81 – $179
23	Kaiser commercial\|all plans fee schedule · outpatient	$130	$130	$49	38%	—	$81 – $179
24	MultiPlan commercial\|all plans fee schedule · inpatient	$148	$148	$56	38%	—	$92 – $204
25	MultiPlan commercial\|all plans fee schedule · outpatient	$148	$148	$56	38%	—	$92 – $204

Last updated: Feb 28, 2026

Compare to other hospitals

See Orthopedic shoe modification, unspecified pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.