Men's high-top depth-inlay shoes 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 L3222 195X-254

Merced, CA

See all hospitals reporting HCPCS L3222 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $284 is 122% above the median hospital's median price ($128), higher than 80% of the 338 hospitals reporting HCPCS L3222. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3222 at Dignity Health

Negotiated rates from the hospital’s own file: 9 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	Kaiser medicaid\|< 21 fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
2	Kaiser medicaid\|> 21 fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
3	Molina medicaid\|< 21 fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
4	Molina medicaid\|> 21 fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
5	Anthem medicaid\|< 21 fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
6	Anthem medicaid\|> 21 fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
7	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
8	Cigna commercial\|all other plans fee schedule · inpatient	$293	$293	—	—	—	$293 – $293
9	Cigna commercial\|all other plans fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
10	Cigna commercial\|ppo fee schedule · inpatient	$293	$293	—	—	—	$293 – $293
11	Cigna commercial\|ppo fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
12	Kaiser commercial\|all plans fee schedule · inpatient	$311	$311	—	—	—	$311 – $311
13	Kaiser commercial\|all plans fee schedule · outpatient	$311	$311	—	—	—	$311 – $311
14	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$333	$333	—	—	—	$333 – $333
15	Anthem commercial\|exchange fee schedule · outpatient	$342	$342	—	—	—	$342 – $342
16	First Health commercial\|all plans fee schedule · inpatient	$360	$360	—	—	—	$360 – $360
17	First Health commercial\|all plans fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
18	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
19	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
20	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$392	$392	—	—	—	$392 – $392
21	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$396	$396	—	—	—	$396 – $396
22	MultiPlan commercial\|all plans fee schedule · inpatient	$423	$423	—	—	—	$423 – $423
23	MultiPlan commercial\|all plans fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
24	Aetna commercial\|all other plans fee schedule · inpatient	$432	$432	—	—	—	$432 – $432
25	Aetna commercial\|hmo fee schedule · inpatient	$432	$432	—	—	—	$432 – $432

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Men's high-top depth-inlay shoes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.