Prosthetic sock, multi-ply, above-knee 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 L8430 115X-150

Long Beach, CA

See all hospitals reporting HCPCS L8430 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $62 is 81% above the median hospital's median price ($34), higher than 86% of the 949 hospitals reporting HCPCS L8430. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L8430 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	$17	$17	—	—	—	$17 – $17
2	Molina medicaid\|all plans fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
5	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
6	Anthem medicaid\|all plans fee schedule · inpatient	$87	$87	$64	73%	—	$23 – $150
7	Molina medicaid\|all plans fee schedule · inpatient	$99	$99	$73	73%	—	$26 – $173
8	Cigna commercial\|all other plans fee schedule · inpatient	$130	$130	$95	73%	—	$35 – $225
9	Cigna commercial\|ppo fee schedule · inpatient	$130	$130	$95	73%	—	$35 – $225
10	Anthem commercial\|exchange fee schedule · outpatient	$147	$147	$108	73%	—	$39 – $255
11	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$177	$177	$130	73%	—	$47 – $308
12	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$203	$203	$149	73%	—	$54 – $353
13	Anthem commercial\|all other plans fee schedule · outpatient	$216	$216	$159	73%	—	$58 – $375
14	Anthem commercial\|mcs fee schedule · outpatient	$216	$216	$159	73%	—	$58 – $375
15	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$216	$216	$159	73%	—	$58 – $375
16	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$216	$216	$159	73%	—	$58 – $375
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$225	$225	$165	73%	—	$60 – $390
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$238	$238	$175	73%	—	$63 – $413
19	Aetna commercial\|all other plans fee schedule · inpatient	$251	$251	$184	73%	—	$67 – $435
20	Aetna commercial\|hmo fee schedule · inpatient	$251	$251	$184	73%	—	$67 – $435
21	Aetna commercial\|ppo fee schedule · inpatient	$251	$251	$184	73%	—	$67 – $435
22	Blue Cross Blue Shield medicare\|blueshield promise fee schedule · outpatient	$281	$281	$206	73%	—	$75 – $488
23	Cigna commercial\|all other plans fee schedule · outpatient	$294	$294	$216	73%	—	$78 – $510
24	Cigna commercial\|ppo fee schedule · outpatient	$294	$294	$216	73%	—	$78 – $510
25	Kaiser commercial\|all plans fee schedule · inpatient	$303	$303	$222	73%	—	$81 – $525

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

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