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 L5850 88X-115
San Bernardino, CA
See all hospitals reporting HCPCS L5850 →Price type
Community Hospital Of San Bernardino’s median price of $253 is 48% above the median hospital's median price ($171), higher than 88% of the 855 hospitals reporting HCPCS L5850. 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Kaiser medicaid|< 21 fee schedule · outpatient | $105.69 | $105.69 | $105.69 – $105.69 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $105.69 | $105.69 | $105.69 – $105.69 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $132.25 | $132.25 | $132.25 – $132.25 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $143.75 | $143.75 | $143.75 – $143.75 |
| 5 | Molina medicaid|all plans fee schedule · outpatient | $147.97 | $147.97 | $147.97 – $147.97 |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $158.54 | $158.54 | $158.54 – $158.54 |
| 7 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 8 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 9 | Aetna commercial|gatekeeper fee schedule · inpatient | $207.00 | $207.00 | $207.00 – $207.00 |
| 10 | Anthem commercial|all other plans fee schedule · outpatient | $235.75 | $235.75 | $235.75 – $235.75 |
| 11 | Anthem commercial|mcs fee schedule · outpatient | $235.75 | $235.75 | $235.75 – $235.75 |
| 12 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $247.25 | $247.25 | $247.25 – $247.25 |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $253.00 | $253.00 | $253.00 – $253.00 |
| 14 | Cigna commercial|ppo fee schedule · inpatient | $253.00 | $253.00 | $253.00 – $253.00 |
| 15 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $293.25 | $293.25 | $293.25 – $293.25 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 18 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 19 | Magellan commercial|all plans fee schedule · inpatient | $345.00 | $345.00 | $345.00 – $345.00 |
| 20 | Magellan commercial|all plans fee schedule · outpatient | $345.00 | $345.00 | $345.00 – $345.00 |
| 21 | Kaiser commercial|all plans fee schedule · inpatient | $356.50 | $356.50 | $356.50 – $356.50 |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $356.50 | $356.50 | $356.50 – $356.50 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $402.50 | $402.50 | $402.50 – $402.50 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $402.50 | $402.50 | $402.50 – $402.50 |
| 25 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $431.25 | $431.25 | $431.25 – $431.25 |
Last updated: Feb 28, 2026
See Knee extension assist for above-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.