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
ORTHO L5620 150X-195
San Bernardino, CA
See all hospitals reporting HCPCS L5620 →Price type
Community Hospital Of San Bernardino’s median price of $429 is 16% above the median hospital's median price ($371), higher than 62% of the 865 hospitals reporting HCPCS L5620. 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, 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $155.30 | $155.30 | $155.30 – $155.30 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $155.30 | $155.30 | $155.30 – $155.30 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $217.42 | $217.42 | $217.42 – $217.42 |
| 4 | Molina medicaid|all plans fee schedule · inpatient | $224.25 | $224.25 | $224.25 – $224.25 |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $232.95 | $232.95 | $232.95 – $232.95 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $243.75 | $243.75 | $243.75 – $243.75 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 8 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 9 | Aetna commercial|gatekeeper fee schedule · inpatient | $351.00 | $351.00 | $351.00 – $351.00 |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $399.75 | $399.75 | $399.75 – $399.75 |
| 11 | Anthem commercial|mcs fee schedule · outpatient | $399.75 | $399.75 | $399.75 – $399.75 |
| 12 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $419.25 | $419.25 | $419.25 – $419.25 |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $429.00 | $429.00 | $429.00 – $429.00 |
| 14 | Cigna commercial|ppo fee schedule · inpatient | $429.00 | $429.00 | $429.00 – $429.00 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $497.25 | $497.25 | $497.25 – $497.25 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $536.25 | $536.25 | $536.25 – $536.25 |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $536.25 | $536.25 | $536.25 – $536.25 |
| 18 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $536.25 | $536.25 | $536.25 – $536.25 |
| 19 | Magellan commercial|all plans fee schedule · inpatient | $585.00 | $585.00 | $585.00 – $585.00 |
| 20 | Magellan commercial|all plans fee schedule · outpatient | $585.00 | $585.00 | $585.00 – $585.00 |
| 21 | Kaiser commercial|all plans fee schedule · inpatient | $604.50 | $604.50 | $604.50 – $604.50 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $604.50 | $604.50 | $604.50 – $604.50 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $682.50 | $682.50 | $682.50 – $682.50 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $682.50 | $682.50 | $682.50 – $682.50 |
| 25 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $731.25 | $731.25 | $731.25 – $731.25 |
Last updated: Feb 28, 2026
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