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 L5637 195X-254
San Bernardino, CA
See all hospitals reporting HCPCS L5637 →Price type
Community Hospital Of San Bernardino’s median price of $647 is 41% above the median hospital's median price ($457), higher than 86% of the 877 hospitals reporting HCPCS L5637. 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 | $353.08 | $353.08 | $353.08 – $353.08 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $353.08 | $353.08 | $353.08 – $353.08 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $393.88 | $393.88 | $292.10 – $495.65 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $428.13 | $428.13 | $317.50 – $538.75 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $494.31 | $494.31 | $494.31 – $494.31 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $513.75 | $513.75 | $381.00 – $646.50 |
| 7 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $513.75 | $513.75 | $381.00 – $646.50 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $573.11 | $573.11 | $573.11 – $573.11 |
| 9 | Aetna commercial|gatekeeper fee schedule · inpatient | $616.50 | $616.50 | $457.20 – $775.80 |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $702.13 | $702.13 | $520.70 – $883.55 |
| 11 | Anthem commercial|mcs fee schedule · outpatient | $702.13 | $702.13 | $520.70 – $883.55 |
| 12 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $736.38 | $736.38 | $546.10 – $926.65 |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $753.50 | $753.50 | $558.80 – $948.20 |
| 14 | Cigna commercial|ppo fee schedule · inpatient | $753.50 | $753.50 | $558.80 – $948.20 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $873.38 | $873.38 | $647.70 – $1,099 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $941.88 | $941.88 | $698.50 – $1,185 |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $941.88 | $941.88 | $698.50 – $1,185 |
| 18 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $941.88 | $941.88 | $698.50 – $1,185 |
| 19 | Magellan commercial|all plans fee schedule · inpatient | $1,028 | $1,028 | $762.00 – $1,293 |
| 20 | Magellan commercial|all plans fee schedule · outpatient | $1,028 | $1,028 | $762.00 – $1,293 |
| 21 | Kaiser commercial|all plans fee schedule · inpatient | $1,062 | $1,062 | $787.40 – $1,336 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $1,062 | $1,062 | $787.40 – $1,336 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $1,199 | $1,199 | $889.00 – $1,509 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $1,199 | $1,199 | $889.00 – $1,509 |
| 25 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $1,284 | $1,284 | $952.50 – $1,616 |
Last updated: Feb 28, 2026
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