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 L0630 115X-150
Red Bluff, CA
See all hospitals reporting HCPCS L0630 →Price type
Dignity Health’s median price of $427 is 107% above the median hospital's median price ($206), higher than 91% of the 929 hospitals reporting HCPCS L0630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 22 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 | Anthem medicaid|all plans fee schedule · inpatient | $134 | $134 | $18 | 13% | — | $116 – $151 |
| 2 | Anthem medicaid|all plans fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $299 | $299 | $39 | 13% | — | $260 – $338 |
| 4 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $299 | $299 | $39 | 13% | — | $260 – $338 |
| 5 | Aetna commercial|all other plans fee schedule · outpatient | $374 | $374 | $49 | 13% | — | $325 – $423 |
| 6 | Aetna commercial|hmo fee schedule · outpatient | $374 | $374 | $49 | 13% | — | $325 – $423 |
| 7 | Aetna commercial|ppo fee schedule · outpatient | $374 | $374 | $49 | 13% | — | $325 – $423 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $390 | $390 | $51 | 13% | — | $339 – $441 |
| 9 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $390 | $390 | $51 | 13% | — | $339 – $441 |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $390 | $390 | $51 | 13% | — | $339 – $441 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $390 | $390 | $51 | 13% | — | $339 – $441 |
| 12 | Cigna commercial|ppo fee schedule · inpatient | $390 | $390 | $51 | 13% | — | $339 – $441 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $390 | $390 | $51 | 13% | — | $339 – $441 |
| 14 | Aetna commercial|all other plans fee schedule · inpatient | $395 | $395 | $52 | 13% | — | $343 – $447 |
| 15 | Aetna commercial|hmo fee schedule · inpatient | $395 | $395 | $52 | 13% | — | $343 – $447 |
| 16 | Aetna commercial|ppo fee schedule · inpatient | $395 | $395 | $52 | 13% | — | $343 – $447 |
| 17 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $481 | $481 | $63 | 13% | — | $418 – $544 |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $481 | $481 | $63 | 13% | — | $418 – $544 |
| 19 | UnitedHealthcare commercial|hmo fee schedule · inpatient | $497 | $497 | $65 | 13% | — | $432 – $562 |
| 20 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $497 | $497 | $65 | 13% | — | $432 – $562 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $523 | $523 | $69 | 13% | — | $455 – $592 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $523 | $523 | $69 | 13% | — | $455 – $592 |
Last updated: Feb 28, 2026
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