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
Glendale, CA
See all hospitals reporting HCPCS L5620 →Price type
Dignity Community Care’s median price of $356 is 4% below the median hospital's median price ($371), higher than 33% 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: 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem medicaid|all plans fee schedule · outpatient | $194.12 | $194.12 | $194.12 – $194.12 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $217.42 | $217.42 | $217.42 – $217.42 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $224.25 | $224.25 | $224.25 – $224.25 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $232.95 | $232.95 | $232.95 – $232.95 |
| 5 | Kaiser medicaid|> 21 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 | Cigna commercial|all other plans fee schedule · inpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $497.25 | $497.25 | $497.25 – $497.25 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $507.00 | $507.00 | $507.00 – $507.00 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $507.00 | $507.00 | $507.00 – $507.00 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $536.25 | $536.25 | $536.25 – $536.25 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $546.00 | $546.00 | $546.00 – $546.00 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $546.00 | $546.00 | $546.00 – $546.00 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $585.00 | $585.00 | $585.00 – $585.00 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $585.00 | $585.00 | $585.00 – $585.00 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $633.75 | $633.75 | $633.75 – $633.75 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $633.75 | $633.75 | $633.75 – $633.75 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $663.00 | $663.00 | $663.00 – $663.00 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $663.00 | $663.00 | $663.00 – $663.00 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $731.25 | $731.25 | $731.25 – $731.25 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $780.00 | $780.00 | $780.00 – $780.00 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $780.00 | $780.00 | $780.00 – $780.00 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $838.50 | $838.50 | $838.50 – $838.50 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $926.25 | $926.25 | $926.25 – $926.25 |
Last updated: Feb 28, 2026
See Below-knee test socket addition for prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.