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 L5850 88X-115
San Bernardino, CA
See all hospitals reporting HCPCS L5850 →Price type
Dignity Health’s median price of $253 is 48% above the median hospital's median price ($171), higher than 88% of the 855 hospitals reporting HCPCS L5850. 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 · inpatient | $132.25 | $132.25 | $132.25 – $132.25 |
| 2 | Molina medicaid|> 21 fee schedule · inpatient | $132.25 | $132.25 | $132.25 – $132.25 |
| 3 | Anthem medicaid|all plans fee schedule · inpatient | $143.75 | $143.75 | $143.75 – $143.75 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $149.02 | $149.02 | $149.02 – $149.02 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $149.02 | $149.02 | $149.02 – $149.02 |
| 6 | Anthem medicaid|all plans fee schedule · outpatient | $158.54 | $158.54 | $158.54 – $158.54 |
| 7 | Anthem commercial|exchange fee schedule · outpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 8 | Kaiser commercial|all plans fee schedule · inpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 9 | Kaiser commercial|all plans fee schedule · outpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $195.50 | $195.50 | $195.50 – $195.50 |
| 11 | Aetna commercial|gatekeeper fee schedule · inpatient | $218.50 | $218.50 | $218.50 – $218.50 |
| 12 | Anthem commercial|non-mcs hmo fee schedule · outpatient | $235.75 | $235.75 | $235.75 – $235.75 |
| 13 | Anthem commercial|mcs fee schedule · outpatient | $247.25 | $247.25 | $247.25 – $247.25 |
| 14 | Anthem commercial|non-mcs ppo fee schedule · outpatient | $247.25 | $247.25 | $247.25 – $247.25 |
| 15 | Cigna commercial|all other plans fee schedule · inpatient | $253.00 | $253.00 | $253.00 – $253.00 |
| 16 | Cigna commercial|ppo fee schedule · inpatient | $253.00 | $253.00 | $253.00 – $253.00 |
| 17 | Aetna commercial|non-gatekeeper fee schedule · inpatient | $264.50 | $264.50 | $264.50 – $264.50 |
| 18 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $299.00 | $299.00 | $299.00 – $299.00 |
| 19 | Cigna commercial|all other plans fee schedule · outpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $316.25 | $316.25 | $316.25 – $316.25 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $333.50 | $333.50 | $333.50 – $333.50 |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $350.75 | $350.75 | $350.75 – $350.75 |
| 23 | First Health commercial|all plans fee schedule · inpatient | $379.50 | $379.50 | $379.50 – $379.50 |
| 24 | First Health commercial|all plans fee schedule · outpatient | $379.50 | $379.50 | $379.50 – $379.50 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $460.00 | $460.00 | $460.00 – $460.00 |
Last updated: Feb 28, 2026
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