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 L0626 39X-51
Bakersfield, CA
See all hospitals reporting HCPCS L0626 →Price type
Dignity Health’s median price of $118 is 20% above the median hospital's median price ($99), higher than 75% of the 938 hospitals reporting HCPCS L0626. 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, 25 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|< 21 fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $125 | $125 | $17 | 13% | — | $108 – $142 |
| 8 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $125 | $125 | $17 | 13% | — | $108 – $142 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $127 | $127 | $17 | 13% | — | $110 – $145 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $130 | $130 | $18 | 13% | — | $113 – $148 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $179 | $179 | $24 | 13% | — | $155 – $204 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $179 | $179 | $24 | 13% | — | $155 – $204 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $182 | $182 | $25 | 13% | — | $158 – $207 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $182 | $182 | $25 | 13% | — | $158 – $207 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $192 | $192 | $26 | 13% | — | $167 – $218 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $192 | $192 | $26 | 13% | — | $167 – $218 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $203 | $203 | $27 | 13% | — | $176 – $230 |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $203 | $203 | $27 | 13% | — | $176 – $230 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $208 | $208 | $28 | 13% | — | $180 – $236 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $208 | $208 | $28 | 13% | — | $180 – $236 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $229 | $229 | $31 | 13% | — | $198 – $260 |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $234 | $234 | $32 | 13% | — | $203 – $266 |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $247 | $247 | $33 | 13% | — | $214 – $280 |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $247 | $247 | $33 | 13% | — | $214 – $280 |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $247 | $247 | $33 | 13% | — | $214 – $280 |
Last updated: Feb 28, 2026
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