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 L3650 10-13
Sacramento, CA
See all hospitals reporting HCPCS L3650 →Price type
Dignity Health’s median price of $62 is 13% below the median hospital's median price ($71), higher than 35% of the 1,510 hospitals reporting HCPCS L3650. 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 | $52 | $50 | $3 | 6% | — | $45 – $52 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $52 | $50 | $3 | 6% | — | $45 – $52 |
| 3 | Kaiser commercial|all plans fee schedule · inpatient | $46 | $51 | $39 | 77% | — | $10 – $101 |
| 4 | Kaiser medicaid|all plans fee schedule · inpatient | $46 | $51 | $39 | 77% | — | $10 – $101 |
| 5 | Kaiser medicare|all plans fee schedule · inpatient | $46 | $51 | $39 | 77% | — | $10 – $101 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $48 | $53 | $41 | 77% | — | $11 – $106 |
| 7 | Molina medicaid|all plans fee schedule · inpatient | $52 | $58 | $44 | 77% | — | $12 – $114 |
| 8 | Molina medicaid|all plans fee schedule · outpatient | $66 | $61 | $9 | 15% | — | $45 – $68 |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $82 | $77 | $23 | 30% | — | $45 – $98 |
| 10 | Cigna commercial|localplus fee schedule · inpatient | $80 | $89 | $68 | 77% | — | $18 – $176 |
| 11 | Kaiser medicaid|all plans fee schedule · outpatient | $82 | $91 | $70 | 77% | — | $18 – $180 |
| 12 | Cigna commercial|all other plans fee schedule · inpatient | $106 | $117 | $90 | 77% | — | $24 – $233 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $108 | $119 | $92 | 77% | — | $24 – $238 |
| 14 | Cigna commercial|localplus fee schedule · outpatient | $110 | $122 | $94 | 77% | — | $25 – $242 |
| 15 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $128 | $142 | $109 | 77% | — | $29 – $282 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $138 | $153 | $118 | 77% | — | $31 – $304 |
| 17 | Cigna commercial|all other plans fee schedule · outpatient | $148 | $164 | $126 | 77% | — | $33 – $326 |
| 18 | First Health commercial|all plans fee schedule · inpatient | $150 | $166 | $128 | 77% | — | $34 – $330 |
| 19 | First Health commercial|all plans fee schedule · outpatient | $150 | $166 | $128 | 77% | — | $34 – $330 |
| 20 | Anthem commercial|connection epo fee schedule · outpatient | $152 | $168 | $130 | 77% | — | $34 – $334 |
| 21 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $158 | $175 | $135 | 77% | — | $36 – $348 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $158 | $175 | $135 | 77% | — | $36 – $348 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $160 | $177 | $136 | 77% | — | $36 – $352 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $160 | $177 | $136 | 77% | — | $36 – $352 |
| 25 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $162 | $179 | $138 | 77% | — | $36 – $356 |
Last updated: Feb 28, 2026
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