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 L5850 88X-115
Glendale, CA
See all hospitals reporting HCPCS L5850 →Price type
Dignity Community Care’s median price of $210 is 23% above the median hospital's median price ($171), higher than 70% of the 855 hospitals reporting HCPCS L5850. 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 | $132.12 | $132.12 | $132.12 – $132.12 |
| 2 | Molina medicaid|all plans fee schedule · inpatient | $132.25 | $132.25 | $132.25 – $132.25 |
| 3 | Anthem medicaid|all plans fee schedule · inpatient | $143.75 | $143.75 | $143.75 – $143.75 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $147.97 | $147.97 | $147.97 – $147.97 |
| 5 | Kaiser medicaid|< 21 fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 6 | Kaiser medicaid|> 21 fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $293.25 | $293.25 | $293.25 – $293.25 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $299.00 | $299.00 | $299.00 – $299.00 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $299.00 | $299.00 | $299.00 – $299.00 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 13 | Kaiser commercial|all plans fee schedule · inpatient | $322.00 | $322.00 | $322.00 – $322.00 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $322.00 | $322.00 | $322.00 – $322.00 |
| 15 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $345.00 | $345.00 | $345.00 – $345.00 |
| 16 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $345.00 | $345.00 | $345.00 – $345.00 |
| 17 | First Health commercial|all plans fee schedule · inpatient | $373.75 | $373.75 | $373.75 – $373.75 |
| 18 | First Health commercial|all plans fee schedule · outpatient | $373.75 | $373.75 | $373.75 – $373.75 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $391.00 | $391.00 | $391.00 – $391.00 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $391.00 | $391.00 | $391.00 – $391.00 |
| 21 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $431.25 | $431.25 | $431.25 – $431.25 |
| 22 | MultiPlan commercial|all plans fee schedule · inpatient | $460.00 | $460.00 | $460.00 – $460.00 |
| 23 | MultiPlan commercial|all plans fee schedule · outpatient | $460.00 | $460.00 | $460.00 – $460.00 |
| 24 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $494.50 | $494.50 | $494.50 – $494.50 |
| 25 | Anthem commercial|mcs fee schedule · inpatient | $546.25 | $546.25 | $546.25 – $546.25 |
Last updated: Feb 28, 2026
See Knee extension assist for above-knee prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.