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.
Original text from hospital filings
ORTHO L2830 195X-254
Phoenix, AZ
See all hospitals reporting HCPCS L2830 →Price type
Dignity Health’s median price of $479 is 271% above the median hospital's median price ($129), higher than 97% of the 1,041 hospitals reporting HCPCS L2830. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $134 | $157 | $60 | 38% | — | $104 – $257 |
| 3 | Aetna commercial|all plans fee schedule · outpatient | $275 | $322 | $123 | 38% | — | $213 – $527 |
| 4 | Optum commercial|optumhealth fee schedule · outpatient | $331 | $388 | $149 | 38% | — | $257 – $635 |
| 5 | Cigna commercial|lifesource fee schedule · outpatient | $388 | $455 | $174 | 38% | — | $300 – $743 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $496 | $496 | — | — | — | $496 – $496 |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $496 | $496 | — | — | — | $496 – $496 |
| 8 | First Health commercial|all plans fee schedule · inpatient | $494 | $579 | $221 | 38% | — | $382 – $945 |
| 9 | First Health commercial|all plans fee schedule · outpatient | $494 | $579 | $221 | 38% | — | $382 – $945 |
| 10 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $636 | $620 | $47 | 8% | — | $546 – $661 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $557 | $653 | $250 | 38% | — | $431 – $1.1k |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $557 | $653 | $250 | 38% | — | $431 – $1.1k |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $705 | $733 | $168 | 23% | — | $546 – $975 |
Last updated: Feb 28, 2026
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