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 L5301 2714X-3529
Mt Shasta, CA
See all hospitals reporting HCPCS L5301 →Price type
Dignity Health’s median price of $10.9k is 217% above the median hospital's median price ($3.4k), higher than 98% of the 858 hospitals reporting HCPCS L5301. 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicaid|all plans fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Anthem medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Humana medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | Kaiser medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | Anthem medicaid|all plans fee schedule · inpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 13 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
Last updated: Feb 28, 2026
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