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 331X-431
Glendale, CA
See all hospitals reporting HCPCS L5637 →Price type
Dignity Community Care’s median price of $660 is 45% 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: 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 | $393.88 | $393.88 | $292.10 – $495.65 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $428.13 | $428.13 | $317.50 – $538.75 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $477.59 | $477.59 | $477.59 – $477.59 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $494.31 | $494.31 | $494.31 – $494.31 |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $513.75 | $513.75 | $381.00 – $646.50 |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $513.75 | $513.75 | $381.00 – $646.50 |
| 7 | Kaiser medicaid|< 21 fee schedule · outpatient | $529.62 | $529.62 | $529.62 – $529.62 |
| 8 | Kaiser medicaid|> 21 fee schedule · outpatient | $529.62 | $529.62 | $529.62 – $529.62 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $873.38 | $873.38 | $647.70 – $1,099 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $890.50 | $890.50 | $660.40 – $1,121 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $890.50 | $890.50 | $660.40 – $1,121 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $941.88 | $941.88 | $698.50 – $1,185 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $959.00 | $959.00 | $711.20 – $1,207 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $959.00 | $959.00 | $711.20 – $1,207 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $1,028 | $1,028 | $762.00 – $1,293 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $1,028 | $1,028 | $762.00 – $1,293 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $1,113 | $1,113 | $825.50 – $1,401 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $1,113 | $1,113 | $825.50 – $1,401 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $1,165 | $1,165 | $863.60 – $1,465 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $1,165 | $1,165 | $863.60 – $1,465 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $1,284 | $1,284 | $952.50 – $1,616 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $1,370 | $1,370 | $1,016 – $1,724 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $1,370 | $1,370 | $1,016 – $1,724 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1,473 | $1,473 | $1,092 – $1,853 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $1,627 | $1,627 | $1,207 – $2,047 |
Last updated: Feb 28, 2026
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