Removable silicone gel foot insert 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 L3003 88X-115

San Bernardino, CA

See all hospitals reporting HCPCS L3003 →

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $265 is 21% above the median hospital's median price ($219), higher than 82% of the 844 hospitals reporting HCPCS L3003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3003 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	$132	$132	—	—	—	$132 – $132
2	Molina medicaid\|< 21 fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
3	Molina medicaid\|> 21 fee schedule · inpatient	$132	$132	—	—	—	$132 – $132
4	Molina medicaid\|> 21 fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
5	Anthem medicaid\|all plans fee schedule · inpatient	$144	$144	—	—	—	$144 – $144
6	Anthem medicaid\|all plans fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
7	Anthem commercial\|exchange fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
8	Kaiser commercial\|all plans fee schedule · inpatient	$173	$173	—	—	—	$173 – $173
9	Kaiser commercial\|all plans fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
10	Blue Cross Blue Shield commercial\|exchange fee schedule · inpatient	$196	$196	—	—	—	$196 – $196
11	Aetna commercial\|gatekeeper fee schedule · inpatient	$219	$219	—	—	—	$219 – $219
12	Anthem commercial\|non-mcs hmo fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
13	Anthem commercial\|mcs fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
14	Anthem commercial\|non-mcs ppo fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
15	Cigna commercial\|all other plans fee schedule · inpatient	$253	$253	—	—	—	$253 – $253
16	Cigna commercial\|ppo fee schedule · inpatient	$253	$253	—	—	—	$253 – $253
17	Aetna commercial\|non-gatekeeper fee schedule · inpatient	$265	$265	—	—	—	$265 – $265
18	Blue Cross Blue Shield commercial\|all other plans fee schedule · inpatient	$299	$299	—	—	—	$299 – $299
19	Cigna commercial\|all other plans fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
20	Cigna commercial\|ppo fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
21	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$334	$334	—	—	—	$334 – $334
22	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$351	$351	—	—	—	$351 – $351
23	First Health commercial\|all plans fee schedule · inpatient	$380	$380	—	—	—	$380 – $380
24	First Health commercial\|all plans fee schedule · outpatient	$380	$380	—	—	—	$380 – $380
25	MultiPlan commercial\|all plans fee schedule · inpatient	$460	$460	—	—	—	$460 – $460

Page 1 of 2 · 27 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Removable silicone gel foot insert pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.