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 L5685 88X-115
Glendale, CA
See all hospitals reporting HCPCS L5685 →Price type
Dignity Community Care’s median price of $182 is 13% above the median hospital's median price ($162), higher than 72% of the 917 hospitals reporting HCPCS L5685. 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 | $101 | $101 | — | — | — | $101 – $101 |
| 2 | Molina medicaid|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $117 | $117 | $16 | 13% | — | $101 – $132 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $127 | $127 | $17 | 13% | — | $110 – $144 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $152 | $152 | $20 | 13% | — | $132 – $173 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $152 | $152 | $20 | 13% | — | $132 – $173 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $259 | $259 | $34 | 13% | — | $224 – $293 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $264 | $264 | $35 | 13% | — | $229 – $299 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $264 | $264 | $35 | 13% | — | $229 – $299 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $279 | $279 | $37 | 13% | — | $242 – $316 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $284 | $284 | $38 | 13% | — | $246 – $322 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $284 | $284 | $38 | 13% | — | $246 – $322 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $305 | $305 | $41 | 13% | — | $264 – $345 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $305 | $305 | $41 | 13% | — | $264 – $345 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $330 | $330 | $44 | 13% | — | $286 – $374 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $330 | $330 | $44 | 13% | — | $286 – $374 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $345 | $345 | $46 | 13% | — | $299 – $391 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $345 | $345 | $46 | 13% | — | $299 – $391 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $381 | $381 | $51 | 13% | — | $330 – $431 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $406 | $406 | $54 | 13% | — | $352 – $460 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $406 | $406 | $54 | 13% | — | $352 – $460 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $436 | $436 | $58 | 13% | — | $378 – $495 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $482 | $482 | $64 | 13% | — | $418 – $546 |
Last updated: Feb 28, 2026
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