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 L3390 30X-39
Phoenix, AZ
See all hospitals reporting HCPCS L3390 →Price type
Dignity Health’s median price of $182 is 191% above the median hospital's median price ($63), higher than 98% of the 842 hospitals reporting HCPCS L3390. 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 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Aetna commercial|all plans fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 4 | Optum commercial|optumhealth fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 5 | Cigna commercial|lifesource fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 6 | First Health commercial|all plans fee schedule · inpatient | $196 | $196 | — | — | — | $196 – $196 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 8 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 9 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $221 | $221 | — | — | — | $221 – $221 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
Last updated: Feb 28, 2026
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