Above-knee prosthetic test socket addition 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 L5624 254X-331

Long Beach, CA

See all hospitals reporting HCPCS L5624 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $596 is 18% above the median hospital's median price ($504), higher than 69% of the 842 hospitals reporting HCPCS L5624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5624 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	$215	$215	—	—	—	$215 – $215
2	Molina medicaid\|all plans fee schedule · outpatient	$301	$301	—	—	—	$301 – $301
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$322	$322	—	—	—	$322 – $322
5	Anthem medicaid\|all plans fee schedule · inpatient	$331	$331	—	—	—	$331 – $331
6	Molina medicaid\|all plans fee schedule · inpatient	$381	$381	—	—	—	$381 – $381
7	Cigna commercial\|all other plans fee schedule · inpatient	$497	$497	—	—	—	$497 – $497
8	Cigna commercial\|ppo fee schedule · inpatient	$497	$497	—	—	—	$497 – $497
9	Anthem commercial\|exchange fee schedule · outpatient	$563	$563	—	—	—	$563 – $563
10	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$679	$679	—	—	—	$679 – $679
11	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$778	$778	—	—	—	$778 – $778
12	Anthem commercial\|all other plans fee schedule · outpatient	$828	$828	—	—	—	$828 – $828
13	Anthem commercial\|mcs fee schedule · outpatient	$828	$828	—	—	—	$828 – $828
14	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$828	$828	—	—	—	$828 – $828
15	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$828	$828	—	—	—	$828 – $828
16	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$861	$861	—	—	—	$861 – $861
17	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$910	$910	—	—	—	$910 – $910
18	Aetna commercial\|all other plans fee schedule · inpatient	$960	$960	—	—	—	$960 – $960
19	Aetna commercial\|hmo fee schedule · inpatient	$960	$960	—	—	—	$960 – $960
20	Aetna commercial\|ppo fee schedule · inpatient	$960	$960	—	—	—	$960 – $960
21	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Cigna commercial\|all other plans fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Cigna commercial\|ppo fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Kaiser commercial\|all plans fee schedule · inpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Above-knee prosthetic test socket addition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.