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 L5940 331X-431
Long Beach, CA
See all hospitals reporting HCPCS L5940 →Price type
Dignity Health’s median price of $776 is 10% above the median hospital's median price ($706), higher than 53% of the 878 hospitals reporting HCPCS L5940. 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 · inpatient | $431 | $431 | — | — | — | $431 – $431 |
| 2 | Anthem medicaid|all plans fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 3 | Molina medicaid|all plans fee schedule · inpatient | $496 | $496 | — | — | — | $496 – $496 |
| 4 | Molina medicaid|all plans fee schedule · outpatient | $624 | $624 | — | — | — | $624 – $624 |
| 5 | Cigna commercial|all other plans fee schedule · inpatient | $647 | $647 | — | — | — | $647 – $647 |
| 6 | Cigna commercial|ppo fee schedule · inpatient | $647 | $647 | — | — | — | $647 – $647 |
| 7 | Kaiser medicaid|< 21 fee schedule · outpatient | $669 | $669 | — | — | — | $669 – $669 |
| 8 | Kaiser medicaid|> 21 fee schedule · outpatient | $669 | $669 | — | — | — | $669 – $669 |
| 9 | Anthem commercial|exchange fee schedule · outpatient | $733 | $733 | — | — | — | $733 – $733 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $884 | $884 | — | — | — | $884 – $884 |
| 11 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Anthem commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Blue Cross Blue Shield medicare|blueshield promise fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Cigna commercial|all other plans fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Cigna commercial|ppo fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Kaiser commercial|all plans fee schedule · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Kaiser commercial|all plans fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Feb 28, 2026
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