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 L0643 115X-150
Bakersfield, CA
See all hospitals reporting HCPCS L0643 →Price type
Dignity Health’s median price of $326 is 158% above the median hospital's median price ($126), higher than 97% of the 836 hospitals reporting HCPCS L0643. 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 | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Kaiser medicaid|< 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Kaiser medicaid|> 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 5 | Molina medicaid|< 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Molina medicaid|> 21 fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 8 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $326 | $326 | — | — | — | $326 – $326 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $459 | $459 | — | — | — | $459 – $459 |
| 12 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $459 | $459 | — | — | — | $459 – $459 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $466 | $466 | — | — | — | $466 – $466 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $466 | $466 | — | — | — | $466 – $466 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $492 | $492 | — | — | — | $492 – $492 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $519 | $519 | — | — | — | $519 – $519 |
| 18 | Cigna commercial|ppo fee schedule · inpatient | $519 | $519 | — | — | — | $519 – $519 |
| 19 | MultiPlan commercial|all plans fee schedule · inpatient | $532 | $532 | — | — | — | $532 – $532 |
| 20 | MultiPlan commercial|all plans fee schedule · outpatient | $532 | $532 | — | — | — | $532 – $532 |
| 21 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $585 | $585 | — | — | — | $585 – $585 |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $599 | $599 | — | — | — | $599 – $599 |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $632 | $632 | — | — | — | $632 – $632 |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $632 | $632 | — | — | — | $632 – $632 |
| 25 | Anthem commercial|mcs fee schedule · outpatient | $632 | $632 | — | — | — | $632 – $632 |
Last updated: Feb 28, 2026
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