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 L0633 195X-254
Redding, CA
See all hospitals reporting HCPCS L0633 →Price type
Dignity Health’s median price of $629 is 74% above the median hospital's median price ($361), higher than 91% of the 887 hospitals reporting HCPCS L0633. 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, 18 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 | $197 | $197 | — | — | — | $197 – $197 |
| 2 | Anthem medicaid|all plans fee schedule · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 4 | UnitedHealthcare commercial|options fee schedule · outpatient | $495 | $495 | — | — | — | $495 – $495 |
| 5 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $527 | $527 | — | — | — | $527 – $527 |
| 6 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $582 | $582 | — | — | — | $582 – $582 |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $590 | $590 | — | — | — | $590 – $590 |
| 8 | Cigna commercial|all other plans fee schedule · inpatient | $629 | $629 | — | — | — | $629 – $629 |
| 9 | Cigna commercial|all other plans fee schedule · outpatient | $629 | $629 | — | — | — | $629 – $629 |
| 10 | Cigna commercial|ppo fee schedule · inpatient | $629 | $629 | — | — | — | $629 – $629 |
| 11 | Cigna commercial|ppo fee schedule · outpatient | $629 | $629 | — | — | — | $629 – $629 |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $676 | $676 | — | — | — | $676 – $676 |
| 13 | Anthem commercial|all other plans fee schedule · outpatient | $715 | $715 | — | — | — | $715 – $715 |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $770 | $770 | — | — | — | $770 – $770 |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $770 | $770 | — | — | — | $770 – $770 |
| 16 | Aetna commercial|all other plans fee schedule · inpatient | $786 | $786 | — | — | — | $786 – $786 |
| 17 | Aetna commercial|hmo fee schedule · inpatient | $786 | $786 | — | — | — | $786 – $786 |
| 18 | Aetna commercial|ppo fee schedule · inpatient | $786 | $786 | — | — | — | $786 – $786 |
Last updated: Feb 28, 2026
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