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 L0630 88X-115
Bakersfield, CA
See all hospitals reporting HCPCS L0630 →Price type
Dignity Health’s median price of $332 is 61% above the median hospital's median price ($206), higher than 87% of the 933 hospitals reporting HCPCS L0630. 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 | $102 | $102 | — | — | — | $102 – $102 |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $392 | $392 | $148 | 38% | — | $245 – $540 |
| 8 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $392 | $392 | $148 | 38% | — | $245 – $540 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $401 | $401 | $151 | 38% | — | $250 – $551 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $409 | $409 | $154 | 38% | — | $255 – $563 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $564 | $564 | $212 | 38% | — | $352 – $776 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $564 | $564 | $212 | 38% | — | $352 – $776 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $572 | $572 | $215 | 38% | — | $357 – $788 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $572 | $572 | $215 | 38% | — | $357 – $788 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $605 | $605 | $228 | 38% | — | $377 – $833 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $605 | $605 | $228 | 38% | — | $377 – $833 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $638 | $638 | $240 | 38% | — | $398 – $878 |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $638 | $638 | $240 | 38% | — | $398 – $878 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $654 | $654 | $246 | 38% | — | $408 – $900 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $654 | $654 | $246 | 38% | — | $408 – $900 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $719 | $719 | $271 | 38% | — | $449 – $990 |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $736 | $736 | $277 | 38% | — | $459 – $1.0k |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $777 | $777 | $292 | 38% | — | $485 – $1.1k |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $777 | $777 | $292 | 38% | — | $485 – $1.1k |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $777 | $777 | $292 | 38% | — | $485 – $1.1k |
Last updated: Feb 28, 2026
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