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 L5850 88X-115
Long Beach, CA
See all hospitals reporting HCPCS L5850 →Price type
Dignity Health’s median price of $207 is 21% above the median hospital's median price ($171), higher than 65% of the 855 hospitals reporting HCPCS L5850. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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|all plans fee schedule · outpatient | $105.69 | $105.69 | $105.69 – $105.69 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $115.00 | $115.00 | $115.00 – $115.00 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $132.25 | $132.25 | $132.25 – $132.25 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $147.97 | $147.97 | $147.97 – $147.97 |
| 5 | Kaiser medicaid|< 21 fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 6 | Kaiser medicaid|> 21 fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $195.50 | $195.50 | $195.50 – $195.50 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $235.75 | $235.75 | $235.75 – $235.75 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $270.25 | $270.25 | $270.25 – $270.25 |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $287.50 | $287.50 | $287.50 – $287.50 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $287.50 | $287.50 | $287.50 – $287.50 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $287.50 | $287.50 | $287.50 – $287.50 |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $287.50 | $287.50 | $287.50 – $287.50 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $299.00 | $299.00 | $299.00 – $299.00 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $333.50 | $333.50 | $333.50 – $333.50 |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $333.50 | $333.50 | $333.50 – $333.50 |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $333.50 | $333.50 | $333.50 – $333.50 |
| 21 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $373.75 | $373.75 | $373.75 – $373.75 |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $391.00 | $391.00 | $391.00 – $391.00 |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $391.00 | $391.00 | $391.00 – $391.00 |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $402.50 | $402.50 | $402.50 – $402.50 |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $402.50 | $402.50 | $402.50 – $402.50 |
Last updated: Feb 28, 2026
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