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 L2492 88X-115
Carmichael, CA
See all hospitals reporting HCPCS L2492 →Price type
Dignity Health’s median price of $322 is 130% above the median hospital's median price ($140), higher than 96% of the 865 hospitals reporting HCPCS L2492. 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, 36 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Kaiser commercial|all plans fee schedule · inpatient | $132 | $132 | — | — | — | $132 – $132 |
| 5 | Kaiser medicaid|all plans fee schedule · inpatient | $132 | $132 | — | — | — | $132 – $132 |
| 6 | Kaiser medicare|all plans fee schedule · inpatient | $132 | $132 | — | — | — | $132 – $132 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $138 | $138 | — | — | — | $138 – $138 |
| 8 | Molina medicaid|all plans fee schedule · inpatient | $150 | $150 | — | — | — | $150 – $150 |
| 9 | Anthem medicaid|all plans fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 10 | Cigna commercial|localplus fee schedule · inpatient | $230 | $230 | — | — | — | $230 – $230 |
| 11 | Kaiser medicaid|all plans fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 12 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 13 | Cigna commercial|all other plans fee schedule · inpatient | $305 | $305 | — | — | — | $305 – $305 |
| 14 | Kaiser commercial|all plans fee schedule · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 15 | Cigna commercial|localplus fee schedule · outpatient | $316 | $316 | — | — | — | $316 – $316 |
| 16 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 18 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 19 | Blue Cross Blue Shield commercial|aco trio fee schedule · inpatient | $374 | $374 | — | — | — | $374 – $374 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 21 | First Health commercial|all plans fee schedule · inpatient | $431 | $431 | — | — | — | $431 – $431 |
| 22 | First Health commercial|all plans fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 23 | Anthem commercial|connection epo fee schedule · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 24 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · inpatient | $472 | $472 | — | — | — | $472 – $472 |
| 25 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $472 | $472 | — | — | — | $472 – $472 |
Last updated: Feb 28, 2026
See Knee joint lift loop add-on for drop lock ring pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.