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 L0976 115X-150
Glendale, CA
See all hospitals reporting HCPCS L0976 →Price type
Dignity Community Care’s median price of $238 is 3% above the median hospital's median price ($231), higher than 55% of the 874 hospitals reporting HCPCS L0976. 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 | Anthem medicaid|all plans fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 2 | Molina medicaid|all plans fee schedule · inpatient | $152 | $152 | $20 | 13% | — | $132 – $173 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 4 | Anthem medicaid|all plans fee schedule · inpatient | $166 | $166 | $22 | 13% | — | $144 – $188 |
| 5 | Kaiser medicaid|< 21 fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 6 | Kaiser medicaid|> 21 fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $199 | $199 | $26 | 13% | — | $173 – $225 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $338 | $338 | $45 | 13% | — | $293 – $383 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $345 | $345 | $46 | 13% | — | $299 – $390 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $345 | $345 | $46 | 13% | — | $299 – $390 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $364 | $364 | $48 | 13% | — | $316 – $413 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $371 | $371 | $49 | 13% | — | $322 – $420 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $371 | $371 | $49 | 13% | — | $322 – $420 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $398 | $398 | $53 | 13% | — | $345 – $450 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $398 | $398 | $53 | 13% | — | $345 – $450 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $431 | $431 | $57 | 13% | — | $374 – $488 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $431 | $431 | $57 | 13% | — | $374 – $488 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $451 | $451 | $60 | 13% | — | $391 – $510 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $451 | $451 | $60 | 13% | — | $391 – $510 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $497 | $497 | $66 | 13% | — | $431 – $563 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $530 | $530 | $70 | 13% | — | $460 – $600 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $530 | $530 | $70 | 13% | — | $460 – $600 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $570 | $570 | $75 | 13% | — | $495 – $645 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $629 | $629 | $83 | 13% | — | $546 – $713 |
Last updated: Feb 28, 2026
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