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 L5668 195X-254
Glendale, CA
See all hospitals reporting HCPCS L5668 →Price type
Dignity Community Care’s median price of $259 is 78% above the median hospital's median price ($145), higher than 91% of the 888 hospitals reporting HCPCS L5668. 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 | $105 | $105 | — | — | — | $105 – $105 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 5 | Molina medicaid|all plans fee schedule · inpatient | $197 | $197 | $95 | 49% | — | $101 – $292 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $214 | $214 | $104 | 49% | — | $110 – $318 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $257 | $257 | $125 | 49% | — | $132 – $381 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $257 | $257 | $125 | 49% | — | $132 – $381 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $436 | $436 | $212 | 49% | — | $224 – $648 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $445 | $445 | $216 | 49% | — | $229 – $660 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $445 | $445 | $216 | 49% | — | $229 – $660 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $470 | $470 | $228 | 49% | — | $242 – $699 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $479 | $479 | $232 | 49% | — | $246 – $711 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $479 | $479 | $232 | 49% | — | $246 – $711 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $513 | $513 | $249 | 49% | — | $264 – $762 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $513 | $513 | $249 | 49% | — | $264 – $762 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $556 | $556 | $270 | 49% | — | $286 – $826 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $556 | $556 | $270 | 49% | — | $286 – $826 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $581 | $581 | $282 | 49% | — | $299 – $864 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $581 | $581 | $282 | 49% | — | $299 – $864 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $641 | $641 | $311 | 49% | — | $330 – $953 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $684 | $684 | $332 | 49% | — | $352 – $1.0k |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $684 | $684 | $332 | 49% | — | $352 – $1.0k |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $735 | $735 | $357 | 49% | — | $378 – $1.1k |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $812 | $812 | $394 | 49% | — | $418 – $1.2k |
Last updated: Feb 28, 2026
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