Below-knee prosthetic socket cushion 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 L5668 195X-254

Long Beach, CA

See all hospitals reporting HCPCS L5668 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $235 is 62% above the median hospital's median price ($145), higher than 85% of the 888 hospitals reporting HCPCS L5668. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5668 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	$84	$84	—	—	—	$84 – $84
2	Molina medicaid\|all plans fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
5	Anthem medicaid\|all plans fee schedule · inpatient	$171	$171	$83	49%	—	$88 – $254
6	Molina medicaid\|all plans fee schedule · inpatient	$197	$197	$95	49%	—	$101 – $292
7	Cigna commercial\|all other plans fee schedule · inpatient	$257	$257	$125	49%	—	$132 – $381
8	Cigna commercial\|ppo fee schedule · inpatient	$257	$257	$125	49%	—	$132 – $381
9	Anthem commercial\|exchange fee schedule · outpatient	$291	$291	$141	49%	—	$150 – $432
10	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$351	$351	$170	49%	—	$180 – $521
11	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$402	$402	$195	49%	—	$207 – $597
12	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$422	$422	—	—	—	$422 – $422
13	Anthem commercial\|all other plans fee schedule · outpatient	$428	$428	$208	49%	—	$220 – $635
14	Anthem commercial\|mcs fee schedule · outpatient	$428	$428	$208	49%	—	$220 – $635
15	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$428	$428	$208	49%	—	$220 – $635
16	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$428	$428	$208	49%	—	$220 – $635
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$445	$445	$216	49%	—	$229 – $660
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$470	$470	$228	49%	—	$242 – $699
19	Aetna commercial\|all other plans fee schedule · inpatient	$496	$496	$241	49%	—	$255 – $737
20	Aetna commercial\|hmo fee schedule · inpatient	$496	$496	$241	49%	—	$255 – $737
21	Aetna commercial\|ppo fee schedule · inpatient	$496	$496	$241	49%	—	$255 – $737
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$556	$556	$270	49%	—	$286 – $826
23	Cigna commercial\|all other plans fee schedule · outpatient	$581	$581	$282	49%	—	$299 – $864
24	Cigna commercial\|ppo fee schedule · outpatient	$581	$581	$282	49%	—	$299 – $864
25	Kaiser commercial\|all plans fee schedule · inpatient	$599	$599	$291	49%	—	$308 – $889

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

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