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 L2116 115X-150
Mt Shasta, CA
See all hospitals reporting HCPCS L2116 →Price type
Dignity Health’s median price of $491 is 47% below the median hospital's median price ($930), higher than 4% of the 943 hospitals reporting HCPCS L2116. 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 | $135 | $358 | $355 | 99% | — | $79 – $858 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $135 | $358 | $355 | 99% | — | $79 – $858 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $135 | $358 | $355 | 99% | — | $79 – $858 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $135 | $358 | $355 | 99% | — | $79 – $858 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $135 | $358 | $355 | 99% | — | $79 – $858 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $135 | $358 | $355 | 99% | — | $79 – $858 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $141 | $373 | $370 | 99% | — | $83 – $894 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $564 | $609 | $248 | 41% | — | $330 – $932 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $462 | $1.2k | $1.2k | 99% | — | $271 – $2.9k |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $462 | $1.2k | $1.2k | 99% | — | $271 – $2.9k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $462 | $1.2k | $1.2k | 99% | — | $271 – $2.9k |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $462 | $1.2k | $1.2k | 99% | — | $271 – $2.9k |
| 13 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $485 | $1.3k | $1.3k | 99% | — | $284 – $3.1k |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $485 | $1.3k | $1.3k | 99% | — | $284 – $3.1k |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $491 | $1.3k | $1.3k | 99% | — | $287 – $3.1k |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $491 | $1.3k | $1.3k | 99% | — | $287 – $3.1k |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $491 | $1.3k | $1.3k | 99% | — | $287 – $3.1k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $496 | $1.3k | $1.3k | 99% | — | $290 – $3.1k |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $496 | $1.3k | $1.3k | 99% | — | $290 – $3.1k |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $496 | $1.3k | $1.3k | 99% | — | $290 – $3.1k |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $496 | $1.3k | $1.3k | 99% | — | $290 – $3.1k |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $496 | $1.3k | $1.3k | 99% | — | $290 – $3.1k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $553 | $1.5k | $1.4k | 99% | — | $323 – $3.5k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $553 | $1.5k | $1.4k | 99% | — | $323 – $3.5k |
Last updated: Feb 28, 2026
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