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 L0625 13X-17
Gilbert, AZ
See all hospitals reporting HCPCS L0625 →Price type
Dignity Health’s median price of $88 is 98% above the median hospital's median price ($44), higher than 85% of the 1,237 hospitals reporting HCPCS L0625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 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 commercial|dignityhealthemployee fee schedule · outpatient | $34 | $32 | $13 | 41% | — | $15 – $46 |
| 2 | Aetna commercial|all other plans fee schedule · outpatient | $42 | $38 | $16 | 41% | — | $18 – $56 |
| 3 | Aetna commercial|hmo fee schedule · outpatient | $42 | $38 | $16 | 41% | — | $18 – $56 |
| 4 | Aetna commercial|ppo fee schedule · outpatient | $42 | $38 | $16 | 41% | — | $18 – $56 |
| 5 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | First Health commercial|all plans fee schedule · inpatient | $133 | $122 | $50 | 41% | — | $56 – $177 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $133 | $122 | $50 | 41% | — | $56 – $177 |
| 8 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $169 | $147 | $30 | 21% | — | $104 – $169 |
| 9 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $169 | $147 | $30 | 21% | — | $104 – $169 |
| 10 | MultiPlan commercial|all plans fee schedule · inpatient | $189 | $174 | $71 | 41% | — | $80 – $253 |
| 11 | MultiPlan commercial|all plans fee schedule · outpatient | $189 | $174 | $71 | 41% | — | $80 – $253 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $225 | $184 | $57 | 31% | 3–30 | $104 – $225 |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $246 | $226 | $93 | 41% | — | $104 – $328 |
Last updated: Feb 28, 2026
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