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
ORTHOTIC AND PROSTHETIC SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS "L" CODE
Glendale, CA
See all hospitals reporting HCPCS L9900 →Price type
Glendale Adventist Medical Center’s median price of $150 is 17% below the median hospital's median price ($182), higher than 43% of the 431 hospitals reporting HCPCS L9900. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 19 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 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $86 | $242 | $285 | 118% | — | $49 – $919 |
| 2 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $90 | $253 | $298 | 118% | — | $51 – $961 |
| 3 | Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges | $94 | $263 | $310 | 118% | — | $53 – $999 |
| 4 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $95 | $266 | $314 | 118% | — | $54 – $1.0k |
| 5 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $95 | $266 | $314 | 118% | — | $54 – $1.0k |
| 6 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $99 | $279 | $329 | 118% | — | $56 – $1.1k |
| 7 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $106 | $299 | $353 | 118% | — | $61 – $1.1k |
| 8 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $106 | $299 | $353 | 118% | — | $61 – $1.1k |
| 9 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $111 | $312 | $368 | 118% | — | $63 – $1.2k |
| 10 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $111 | $312 | $368 | 118% | — | $63 – $1.2k |
| 11 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $113 | $318 | $375 | 118% | — | $64 – $1.2k |
| 12 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $119 | $335 | $395 | 118% | — | $68 – $1.3k |
| 13 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $126 | $353 | $417 | 118% | — | $72 – $1.3k |
| 14 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $126 | $353 | $417 | 118% | — | $72 – $1.3k |
| 15 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $136 | $381 | $450 | 118% | — | $77 – $1.4k |
| 16 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $152 | $427 | $504 | 118% | — | $86 – $1.6k |
| 17 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $199 | $558 | $659 | 118% | — | $113 – $2.1k |
| 18 | Medicaid medi-cal fee schedule · outpatient | $234 | $657 | $775 | 118% | — | $133 – $2.5k |
| 19 | Molina molina mcal fee schedule · outpatient | $234 | $657 | $775 | 118% | — | $133 – $2.5k |
Last updated: Jul 30, 2026
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