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 L5910 254X-331
Long Beach, CA
See all hospitals reporting HCPCS L5910 →Price type
Dignity Health’s median price of $509 is about the same as the median hospital's median price ($512), higher than 49% of the 883 hospitals reporting HCPCS L5910. 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 | $231 | $231 | — | — | — | $231 – $231 |
| 2 | Anthem medicaid|all plans fee schedule · inpatient | $293 | $293 | $39 | 13% | — | $254 – $331 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $324 | $324 | — | — | — | $324 – $324 |
| 4 | Molina medicaid|all plans fee schedule · inpatient | $336 | $336 | $44 | 13% | — | $292 – $381 |
| 5 | Kaiser medicaid|< 21 fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 6 | Kaiser medicaid|> 21 fee schedule · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $439 | $439 | $58 | 13% | — | $381 – $497 |
| 8 | Cigna commercial|ppo fee schedule · inpatient | $439 | $439 | $58 | 13% | — | $381 – $497 |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $497 | $497 | $65 | 13% | — | $432 – $563 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $600 | $600 | $79 | 13% | — | $521 – $679 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $687 | $687 | $90 | 13% | — | $597 – $778 |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $731 | $731 | $96 | 13% | — | $635 – $828 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $731 | $731 | $96 | 13% | — | $635 – $828 |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $731 | $731 | $96 | 13% | — | $635 – $828 |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $731 | $731 | $96 | 13% | — | $635 – $828 |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $761 | $761 | $100 | 13% | — | $660 – $861 |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $804 | $804 | $106 | 13% | — | $699 – $910 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $848 | $848 | $112 | 13% | — | $737 – $960 |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $848 | $848 | $112 | 13% | — | $737 – $960 |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $848 | $848 | $112 | 13% | — | $737 – $960 |
| 21 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $951 | $951 | $125 | 13% | — | $826 – $1.1k |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $995 | $995 | $131 | 13% | — | $864 – $1.1k |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $995 | $995 | $131 | 13% | — | $864 – $1.1k |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $1.0k | $1.0k | $135 | 13% | — | $889 – $1.2k |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $1.0k | $1.0k | $135 | 13% | — | $889 – $1.2k |
Last updated: Feb 28, 2026
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