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 L1620 115X-150
Phoenix, AZ
See all hospitals reporting HCPCS L1620 →Price type
Dignity Health’s median price of $360 is 98% above the median hospital's median price ($182), higher than 93% of the 1,005 hospitals reporting HCPCS L1620. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 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 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $110 | $110 | $42 | 38% | — | $68 – $152 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 3 | Aetna commercial|all plans fee schedule · outpatient | $226 | $226 | $85 | 38% | — | $140 – $311 |
| 4 | Optum commercial|optumhealth fee schedule · outpatient | $272 | $272 | $103 | 38% | — | $169 – $375 |
| 5 | Cigna commercial|lifesource fee schedule · outpatient | $318 | $318 | $120 | 38% | — | $198 – $439 |
| 6 | First Health commercial|all plans fee schedule · inpatient | $405 | $405 | $153 | 38% | — | $252 – $559 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $405 | $405 | $153 | 38% | — | $252 – $559 |
| 8 | MultiPlan commercial|all plans fee schedule · inpatient | $457 | $457 | $173 | 38% | — | $284 – $630 |
| 9 | MultiPlan commercial|all plans fee schedule · outpatient | $457 | $457 | $173 | 38% | — | $284 – $630 |
| 10 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $579 | $579 | $219 | 38% | — | $360 – $798 |
| 11 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $579 | $579 | $219 | 38% | — | $360 – $798 |
| 12 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $579 | $579 | $219 | 38% | — | $360 – $798 |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $579 | $579 | $219 | 38% | — | $360 – $798 |
Last updated: Feb 28, 2026
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