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 L5972 88X-115
Mt Shasta, CA
See all hospitals reporting HCPCS L5972 →Price type
Dignity Health’s median price of $432 is 16% below the median hospital's median price ($514), higher than 12% of the 853 hospitals reporting HCPCS L5972. 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 | $305 | $305 | $202 | 66% | — | $104 – $507 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $305 | $305 | $202 | 66% | — | $104 – $507 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $305 | $305 | $202 | 66% | — | $104 – $507 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $305 | $305 | $202 | 66% | — | $104 – $507 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $305 | $305 | $202 | 66% | — | $104 – $507 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $305 | $305 | $202 | 66% | — | $104 – $507 |
| 7 | Anthem medicaid|all plans fee schedule · inpatient | $318 | $318 | $210 | 66% | — | $108 – $528 |
| 8 | Anthem medicaid|all plans fee schedule · outpatient | $408 | $408 | — | — | — | $408 – $408 |
| 9 | Cigna commercial|all other plans fee schedule · inpatient | $1.0k | $1.0k | $689 | 66% | — | $354 – $1.7k |
| 10 | Cigna commercial|all other plans fee schedule · outpatient | $1.0k | $1.0k | $689 | 66% | — | $354 – $1.7k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $1.0k | $1.0k | $689 | 66% | — | $354 – $1.7k |
| 12 | Cigna commercial|ppo fee schedule · outpatient | $1.0k | $1.0k | $689 | 66% | — | $354 – $1.7k |
| 13 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $1.1k | $1.1k | $723 | 66% | — | $372 – $1.8k |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $1.1k | $1.1k | $723 | 66% | — | $372 – $1.8k |
| 15 | Aetna commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | $731 | 66% | — | $376 – $1.8k |
| 16 | Aetna commercial|hmo fee schedule · outpatient | $1.1k | $1.1k | $731 | 66% | — | $376 – $1.8k |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $1.1k | $1.1k | $731 | 66% | — | $376 – $1.8k |
| 18 | Aetna commercial|all other plans fee schedule · inpatient | $1.1k | $1.1k | $740 | 66% | — | $380 – $1.9k |
| 19 | Aetna commercial|hmo fee schedule · inpatient | $1.1k | $1.1k | $740 | 66% | — | $380 – $1.9k |
| 20 | Aetna commercial|ppo fee schedule · inpatient | $1.1k | $1.1k | $740 | 66% | — | $380 – $1.9k |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $1.1k | $1.1k | $740 | 66% | — | $380 – $1.9k |
| 22 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $1.1k | $1.1k | $740 | 66% | — | $380 – $1.9k |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $1.2k | $1.2k | $824 | 66% | — | $423 – $2.1k |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $1.2k | $1.2k | $824 | 66% | — | $423 – $2.1k |
Last updated: Feb 28, 2026
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