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
Ukiah, CA
See all hospitals reporting HCPCS L9900 →Price type
Ukiah Adventist Hospital’s median price of $134 is 26% below the median hospital's median price ($182), higher than 40% 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: 7 payers, 16 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 cross mcs-all other plans fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 3 | Aetna aetna-all plans fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 4 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $72 | $233 | $360 | 154% | — | $11 – $950 |
| 5 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $72 | $233 | $361 | 154% | — | $11 – $951 |
| 6 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $73 | $237 | $365 | 154% | — | $12 – $964 |
| 7 | Blue Cross Blue Shield blue cross mcs-all other plans case rate · outpatient | $80 | $259 | $400 | 154% | — | $13 – $1.1k |
| 8 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $80 | $259 | $400 | 154% | — | $13 – $1.1k |
| 9 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $125 | $406 | $628 | 154% | — | $20 – $1.7k |
| 10 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $183 | $460 | $675 | 147% | — | $23 – $1.9k |
| 11 | UnitedHealthcare uhc jll csp 1/1/25 percent of total billed charges · outpatientfrom % of charges | $150 | $485 | $749 | 154% | — | $24 – $2.0k |
| 12 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $151 | $490 | $757 | 154% | — | $24 – $2.0k |
| 13 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $187 | $508 | $692 | 136% | — | $24 – $2.0k |
| 14 | UnitedHealthcare uhc all payer-all other plans percent of total billed charges · outpatientfrom % of charges | $158 | $512 | $791 | 154% | — | $25 – $2.1k |
| 15 | Kaiser kaiser medi-cal fee schedule · outpatient | $234 | $635 | $865 | 136% | — | $30 – $2.5k |
| 16 | Medicaid medi-cal fee schedule · outpatient | $234 | $635 | $865 | 136% | — | $30 – $2.5k |
Last updated: May 24, 2026
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