Removable molded foot insert (UCB-type shell) 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 L3000 195X-254

San Bernardino, CA

See all hospitals reporting HCPCS L3000 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $559 is 42% above the median hospital's median price ($392), higher than 86% of the 957 hospitals reporting HCPCS L3000. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3000 at Dignity Health

Negotiated rates from the hospital’s own file: 9 payers, 27 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	Molina medicaid\|< 21 fee schedule · inpatient	$292	$292	—	—	—	$292 – $292
2	Molina medicaid\|> 21 fee schedule · inpatient	$292	$292	—	—	—	$292 – $292
3	Anthem medicaid\|all plans fee schedule · inpatient	$318	$318	—	—	—	$318 – $318
4	Anthem medicaid\|all plans fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
5	Anthem commercial\|exchange fee schedule · outpatient	$381	$381	—	—	—	$381 – $381
6	Kaiser commercial\|all plans fee schedule · inpatient	$381	$381	—	—	—	$381 – $381
7	Kaiser commercial\|all plans fee schedule · outpatient	$381	$381	—	—	—	$381 – $381
8	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$432	$432	—	—	—	$432 – $432
9	Molina medicaid\|< 21 fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
10	Molina medicaid\|> 21 fee schedule · outpatient	$459	$459	—	—	—	$459 – $459
11	Aetna commercial\|gatekeeper fee schedule · inpatient	$483	$483	—	—	—	$483 – $483
12	Anthem commercial\|non-mcs hmo fee schedule · outpatient	$521	$521	—	—	—	$521 – $521
13	Anthem commercial\|mcs fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
14	Anthem commercial\|non-mcs ppo fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
15	Cigna commercial\|all other plans fee schedule · inpatient	$559	$559	—	—	—	$559 – $559
16	Cigna commercial\|ppo fee schedule · inpatient	$559	$559	—	—	—	$559 – $559
17	Aetna commercial\|non-gatekeeper fee schedule · inpatient	$584	$584	—	—	—	$584 – $584
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$660	$660	—	—	—	$660 – $660
19	Cigna commercial\|all other plans fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
20	Cigna commercial\|ppo fee schedule · outpatient	$699	$699	—	—	—	$699 – $699
21	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$737	$737	—	—	—	$737 – $737
22	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$775	$775	—	—	—	$775 – $775
23	First Health commercial\|all plans fee schedule · inpatient	$838	$838	—	—	—	$838 – $838
24	First Health commercial\|all plans fee schedule · outpatient	$838	$838	—	—	—	$838 – $838
25	MultiPlan commercial\|all plans fee schedule · inpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Page 1 of 2 · 27 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Removable molded foot insert (UCB-type shell) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.