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
PO-MENS ORTHOPEDIC DEPTH INLAY SH
Hackensack, NJ
See all hospitals reporting HCPCS L3221 →Price type
Hmh Hospitals Corporation’s median price of $96 is 29% below the median hospital's median price ($135), higher than 32% of the 410 hospitals reporting HCPCS L3221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 11 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 5 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 6 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 8 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
Last updated: Dec 31, 2025
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