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 L5620 150X-195
San Bernardino, CA
See all hospitals reporting HCPCS L5620 →Price type
Dignity Health’s median price of $429 is 16% above the median hospital's median price ($371), higher than 62% of the 865 hospitals reporting HCPCS L5620. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 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 | Molina medicaid|< 21 fee schedule · outpatient | $218.97 | $218.97 | $218.97 – $218.97 |
| 2 | Molina medicaid|> 21 fee schedule · outpatient | $218.97 | $218.97 | $218.97 – $218.97 |
| 3 | Molina medicaid|< 21 fee schedule · inpatient | $224.25 | $224.25 | $224.25 – $224.25 |
| 4 | Molina medicaid|> 21 fee schedule · inpatient | $224.25 | $224.25 | $224.25 – $224.25 |
| 5 | Anthem medicaid|all plans fee schedule · outpatient | $232.95 | $232.95 | $232.95 – $232.95 |
| 6 | Anthem medicaid|all plans fee schedule · inpatient | $243.75 | $243.75 | $243.75 – $243.75 |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 8 | Kaiser commercial|all plans fee schedule · inpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 9 | Kaiser commercial|all plans fee schedule · outpatient | $292.50 | $292.50 | $292.50 – $292.50 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $331.50 | $331.50 | $331.50 – $331.50 |
| 11 | Aetna commercial|gatekeeper fee schedule · inpatient | $370.50 | $370.50 | $370.50 – $370.50 |
| 12 | Anthem commercial|non-mcs hmo fee schedule · outpatient | $399.75 | $399.75 | $399.75 – $399.75 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $419.25 | $419.25 | $419.25 – $419.25 |
| 14 | Anthem commercial|non-mcs ppo fee schedule · outpatient | $419.25 | $419.25 | $419.25 – $419.25 |
| 15 | Cigna commercial|all other plans fee schedule · inpatient | $429.00 | $429.00 | $429.00 – $429.00 |
| 16 | Cigna commercial|ppo fee schedule · inpatient | $429.00 | $429.00 | $429.00 – $429.00 |
| 17 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $448.50 | $448.50 | $448.50 – $448.50 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $507.00 | $507.00 | $507.00 – $507.00 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $536.25 | $536.25 | $536.25 – $536.25 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $536.25 | $536.25 | $536.25 – $536.25 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $565.50 | $565.50 | $565.50 – $565.50 |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $594.75 | $594.75 | $594.75 – $594.75 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $643.50 | $643.50 | $643.50 – $643.50 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $643.50 | $643.50 | $643.50 – $643.50 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $780.00 | $780.00 | $780.00 – $780.00 |
Last updated: Feb 28, 2026
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