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 <10
Mt Shasta, CA
See all hospitals reporting HCPCS L0625 →Price type
Dignity Health’s median price of $19 is 57% below the median hospital's median price ($45), higher than 3% of the 1,241 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: 8 payers, 24 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 | Aetna medicare|all plans fee schedule · outpatient | $10 | $10 | $5 | 51% | — | $5 – $15 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $10 | $10 | $5 | 51% | — | $5 – $15 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $10 | $10 | $5 | 51% | — | $5 – $15 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $10 | $10 | $5 | 51% | — | $5 – $15 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $10 | $10 | $5 | 51% | — | $5 – $15 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $10 | $10 | $5 | 51% | — | $5 – $15 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $11 | $11 | $5 | 51% | — | $5 – $16 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $34 | $34 | $13 | 38% | — | $21 – $47 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $35 | $35 | $18 | 51% | — | $17 – $52 |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $35 | $35 | $18 | 51% | — | $17 – $52 |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $35 | $35 | $18 | 51% | — | $17 – $52 |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $35 | $35 | $18 | 51% | — | $17 – $52 |
| 13 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $37 | $37 | $18 | 51% | — | $18 – $55 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $37 | $37 | $18 | 51% | — | $18 – $55 |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $37 | $37 | $19 | 51% | — | $18 – $56 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $42 | $42 | $21 | 51% | — | $21 – $63 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $42 | $42 | $21 | 51% | — | $21 – $63 |
Last updated: Feb 28, 2026
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