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 L0625 10-13
Glendale, CA
See all hospitals reporting HCPCS L0625 →Price type
Dignity Community Care’s median price of $36 is 19% below the median hospital's median price ($45), higher than 21% of the 1,241 hospitals reporting HCPCS L0625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 29 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 | Molina medicaid|all plans fee schedule · inpatient | $15 | $15 | $4 | 25% | — | $10 – $20 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $16 | $16 | $4 | 25% | — | $11 – $21 |
| 3 | Cigna commercial|all other plans fee schedule · inpatient | $20 | $20 | $5 | 25% | — | $14 – $26 |
| 4 | Cigna commercial|ppo fee schedule · inpatient | $20 | $20 | $5 | 25% | — | $14 – $26 |
| 5 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $33 | $33 | $8 | 25% | — | $23 – $43 |
| 6 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $34 | $34 | $8 | 25% | — | $23 – $44 |
| 7 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $34 | $34 | $8 | 25% | — | $23 – $44 |
| 8 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $36 | $36 | $9 | 25% | — | $25 – $47 |
| 9 | Kaiser commercial|all plans fee schedule · inpatient | $36 | $36 | $9 | 25% | — | $25 – $48 |
| 10 | Kaiser commercial|all plans fee schedule · outpatient | $36 | $36 | $9 | 25% | — | $25 – $48 |
| 11 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $39 | $39 | $10 | 25% | — | $27 – $51 |
| 12 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $39 | $39 | $10 | 25% | — | $27 – $51 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $42 | $42 | $11 | 25% | — | $29 – $55 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $42 | $42 | $11 | 25% | — | $29 – $55 |
| 15 | Anthem medicaid|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $44 | $44 | $11 | 25% | — | $31 – $58 |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $44 | $44 | $11 | 25% | — | $31 – $58 |
| 18 | Molina medicaid|all plans fee schedule · outpatient | $48 | $47 | $2 | 3% | — | $45 – $48 |
| 19 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $49 | $49 | $12 | 25% | — | $34 – $64 |
| 20 | Kaiser medicaid|< 21 fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 21 | Kaiser medicaid|> 21 fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $52 | $52 | $13 | 25% | — | $36 – $68 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $52 | $52 | $13 | 25% | — | $36 – $68 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $56 | $56 | $14 | 25% | — | $39 – $73 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $62 | $62 | $16 | 25% | — | $43 – $81 |
Last updated: Feb 28, 2026
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