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 L5685 88X-115
Phoenix, AZ
See all hospitals reporting HCPCS L5685 →Price type
Dignity Health’s median price of $375 is 132% above the median hospital's median price ($162), higher than 95% of the 921 hospitals reporting HCPCS L5685. 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 medicaid|all plans fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 2 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $110 | $110 | $6 | 6% | — | $104 – $116 |
| 3 | Aetna commercial|all plans fee schedule · outpatient | $226 | $226 | $13 | 6% | — | $213 – $239 |
| 4 | Optum commercial|optumhealth fee schedule · outpatient | $272 | $272 | $16 | 6% | — | $257 – $288 |
| 5 | Cigna commercial|lifesource fee schedule · outpatient | $318 | $318 | $18 | 6% | — | $300 – $337 |
| 6 | First Health commercial|all plans fee schedule · inpatient | $405 | $405 | $23 | 6% | — | $382 – $428 |
| 7 | First Health commercial|all plans fee schedule · outpatient | $405 | $405 | $23 | 6% | — | $382 – $428 |
| 8 | MultiPlan commercial|all plans fee schedule · inpatient | $457 | $457 | $26 | 6% | — | $431 – $483 |
| 9 | MultiPlan commercial|all plans fee schedule · outpatient | $457 | $457 | $26 | 6% | — | $431 – $483 |
| 10 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $579 | $579 | $33 | 6% | — | $546 – $612 |
| 11 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $579 | $579 | $33 | 6% | — | $546 – $612 |
| 12 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $579 | $579 | $33 | 6% | — | $546 – $612 |
| 13 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $579 | $579 | $33 | 6% | — | $546 – $612 |
Last updated: Feb 28, 2026
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