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 88X-115
Sacramento, CA
See all hospitals reporting HCPCS L2830 →Price type
Dignity Health’s median price of $334 is 163% above the median hospital's median price ($127), higher than 93% of the 1,046 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: 9 payers, 33 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|< 21 fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 3 | Kaiser commercial|all plans fee schedule · inpatient | $132 | $135 | $29 | 22% | — | $101 – $173 |
| 4 | Kaiser medicaid|all plans fee schedule · inpatient | $132 | $135 | $29 | 22% | — | $101 – $173 |
| 5 | Kaiser medicare|all plans fee schedule · inpatient | $132 | $135 | $29 | 22% | — | $101 – $173 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $138 | $141 | $30 | 22% | — | $106 – $180 |
| 7 | Molina medicaid|all plans fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $150 | $153 | $33 | 22% | — | $114 – $195 |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 10 | Cigna commercial|localplus fee schedule · inpatient | $230 | $235 | $51 | 22% | — | $176 – $300 |
| 11 | Kaiser medicaid|all plans fee schedule · outpatient | $236 | $241 | $52 | 22% | — | $180 – $308 |
| 12 | Cigna commercial|all other plans fee schedule · inpatient | $305 | $312 | $67 | 22% | — | $233 – $398 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $311 | $318 | $69 | 22% | — | $238 – $405 |
| 14 | Cigna commercial|localplus fee schedule · outpatient | $316 | $324 | $70 | 22% | — | $242 – $413 |
| 15 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $368 | $377 | $81 | 22% | — | $282 – $480 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $397 | $406 | $88 | 22% | — | $304 – $518 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $426 | $435 | $94 | 22% | — | $326 – $555 |
| 18 | First Health commercial|all plans fee schedule · inpatient | $431 | $441 | $95 | 22% | — | $330 – $563 |
| 19 | First Health commercial|all plans fee schedule · outpatient | $431 | $441 | $95 | 22% | — | $330 – $563 |
| 20 | Anthem commercial|connection epo fee schedule · outpatient | $437 | $447 | $96 | 22% | — | $334 – $570 |
| 21 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $454 | $465 | $100 | 22% | — | $348 – $593 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $454 | $465 | $100 | 22% | — | $348 – $593 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $460 | $471 | $102 | 22% | — | $352 – $600 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $460 | $471 | $102 | 22% | — | $352 – $600 |
| 25 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $466 | $477 | $103 | 22% | — | $356 – $608 |
Last updated: Feb 28, 2026
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